Nokea
The National Quality Forum has issued a list of 'never events' specifically pertaining to maternal and child health. These include all of the following except:
- A. Infant discharged to the wrong person.
- B. Kernicterus associated with the failure to identify and treat hyperbilirubinemia.
- C. Artificial insemination with the wrong donor sperm or egg.
- D. Foreign object retained after surgery.
Correct Answer: D
Rationale: Although a foreign object retained after surgery is a never event, it does not specifically pertain to obstetric clients.
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What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
- A. Standard of care
- B. Risk management
- C. Sentinel event
- D. Failure to rescue
Correct Answer: A
Rationale: Guidelines for standards of care are published by professional nursing organizations.
Which statement is true regarding the shortage of nurses in the United States?
- A. There are a larger proportion of younger nurses in the workforce as compared with older nurses.
- B. As a result of decreased RN-to-patient ratios, there is a decrease in patient mortality in the clinical setting.
- C. Nursing programs are turning away qualified applicants.
- D. There are adequate classroom and clinical facilities for training RNs.
Correct Answer: C
Rationale: The statement that nursing programs are turning away qualified applicants is true regarding the shortage of nurses in the United States. Despite the growing demand for healthcare services and the critical need for more nurses, nursing schools across the country face challenges in accepting all qualified applicants due to a shortage of nursing faculty, limited clinical space, and budget constraints. This bottleneck in nursing education and training contributes to the shortage of nurses in the workforce. As a result, many potential nursing students who are qualified and interested in pursuing a career in nursing are being turned away from programs, exacerbating the shortage.
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
- A. Premature ovarian failure
- B. Renal calculi
- C. Dysmenorrhea
- D. Recurrent urinary tract infection
Correct Answer: A
Rationale: Premature ovarian failure leads to decreased estrogen production and lack of ovulation, significantly affecting fertility.
A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
- A. The Sheppard-Towner Act of 1921 promoted family-centered care.
- B. Changes in pharmacologic management of labor prompted family-centered care.
- C. Demands by physicians for family involvement in childbirth increased the practice of family-centered care.
- D. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.
Correct Answer: D
Rationale: The statement that parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care is the most accurate regarding the history of family-centered maternity care. Family-centered care evolved in response to the recognition of the importance of family involvement in maternity care and the benefits of promoting bonding between the newborn and their parents. This shift in practice came about in response to increasing parental requests for infants to remain with them rather than being separated in a nursery setting. This marked a significant departure from traditional policies that separated mothers and infants after birth and paved the way for the development of family-centered approaches to maternity care.
A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience?
- A. Weight gain, hot flashes, and blood clots
- B. Vomiting, weight loss, and hair loss
- C. Nausea, vomiting, and diarrhea
- D. Hot flashes, weight gain, and headaches
Correct Answer: A
Rationale: Common side effects of tamoxifen include hot flashes, weight gain, and blood clots. Other side effects like nausea and hair loss are not typical.