Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?

  • A. Tolterodine is used to treat overactive bladders and to decrease urinary frequency,
    urgency, and urge incontinence.
  • B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas.
  • C. Tolterodine is used to facilitate weight loss by acting as an appetite suppressant.
  • D. Tolterodine is used to improve blood flow to the pelvic muscles to decrease
    urinary tract infections.
Correct Answer: B

Rationale: The correct answer is B: Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. Tolterodine is a medication used to treat overactive bladders by relaxing the bladder muscles, reducing urinary urgency, frequency, and urge incontinence. Improving tone and tissue in the urethral and vaginal areas can help in controlling bladder function. Choices A, C, and D are incorrect because tolterodine does not act as an appetite suppressant, facilitate weight loss, or improve blood flow to pelvic muscles to decrease urinary tract infections. The primary mechanism of action of tolterodine is related to bladder muscle relaxation rather than weight loss or blood flow improvement.

You may also like to solve these questions

A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?

  • A. Postpartum depression
  • B. Taking-in phase
  • C. Postpartum blues
  • D. Taking-hold phase
Correct Answer: C

Rationale: Postpartum blues is a common emotional response occurring within the first two weeks postpartum. Symptoms include mood swings, tearfulness, and sadness due to hormonal changes. It is self-limiting, unlike postpartum depression, which is more severe and persistent.

Which statement by the client indicates that she understands BSE?

  • A. I will examine both breasts in two different positions.'
  • B. I will examine my breasts 1 week after my menstrual period starts.'
  • C. I will examine only the outer upper area of the breast.'
  • D. I will use the palm of the hand to perform the examination.'
Correct Answer: B

Rationale: The client should examine her breasts when hormonal influences are at their lowest, ideally 1 week after menstruation.

The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?

  • A. “Remaining focused on my family will help benefit me and my baby.”
  • B. “Most of the time, childbirth is uncomplicated and a healthy event for the family.”
  • C. “Because childbirth is normal, after my baby’s birth our family dynamics will not N R I G B.C M U S N T O change.”
  • D. “With correct information, I am able to make decisions regarding my health care while I am pregnant.”
Correct Answer: C

Rationale: The correct answer is C because it inaccurately suggests that family dynamics will not change after childbirth. The nurse needs to correct this statement as childbirth often leads to significant changes in family dynamics. This is important for the patient to understand to prepare for potential adjustments and challenges. Choices A, B, and D are incorrect because they align with the principles of family-centered care. Choice A highlights the importance of family support, choice B emphasizes the commonality of uncomplicated childbirth, and choice D empowers the patient to make informed decisions about her healthcare.

A nurse is providing breast care education to a client after mammography. Which information regarding fibrocystic changes in the breast is important for the nurse to share?

  • A. Fibrocystic breast disease is a disease of the milk ducts and glands in the breasts.
  • B. It is a premalignant disorder characterized by lumps found in the breast tissue.
  • C. Healthy women with fibrocystic breast disease find lumpiness with pain and tenderness in varying degrees in the breast tissue during menstrual cycles.
  • D. Lumpiness is accompanied by tenderness after menses.
Correct Answer: C

Rationale: Fibrocystic changes are palpable thickenings in the breast usually associated with pain and tenderness. The pain and tenderness fluctuate with the menstrual cycle. They are not premalignant changes and tenderness most often occurs before menses.

While interviewing a 31-year-old woman before her routine gynecologic examination the nurse collects data about the client's recent menstrual cycles. Which statement by the client should prompt the nurse to collect further information?

  • A. My menstrual flow lasts 5 to 6 days
  • B. My flow is very heavy
  • C. The length of my menstrual cycles varies from 26 to 29 days
  • D. I have had a small amount of spotting midway between my periods for the past 2 months
Correct Answer: B

Rationale: Heavy bleeding (menorrhagia) requires further investigation as it could indicate an underlying condition. A menstrual cycle of 5-6 days or slight spotting midway are normal.

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