Maternal and Reproductive Health Nursing

Maternal and Reproductive Health Nursing Related

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The nurse is answering the phone in the OB-GYN clinic. The person asks, 'I am a lesbian. Can an OB-GYN provider care for me?' What is the nurse's best response?

  • A. All LGBTQIA+ persons are welcome and can be treated by an OB-GYN provider.'
  • B. We can see you if you will be the person in the relationship that will get pregnant.'
  • C. We suggest you see a provider that specializes in LGBTQIA+ persons.'
  • D. Our OB-GYN provider can give you gynecologic care but not pregnancy care.'
Correct Answer: A

Rationale: The correct answer is A because it demonstrates inclusivity and respect for the individual's identity. The response affirms that all LGBTQIA+ persons are welcome and can receive care from an OB-GYN provider, promoting a safe and supportive environment. This answer prioritizes patient-centered care and emphasizes the provider's commitment to serving diverse populations.

Choice B is incorrect as it assumes the individual's role in a relationship determines their eligibility for care, which is discriminatory. Choice C is also incorrect as it suggests the individual needs a specialized provider solely based on their sexual orientation, which is not necessary for routine gynecologic care. Choice D is incorrect as it limits the scope of care based on the individual's sexual orientation, which goes against ethical principles of providing comprehensive healthcare to all individuals.

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What is important for the nurse to provide a woman with bacterial vaginosis?

  • A. The woman must be careful to observe for signs of preterm labor.
  • B. The woman must advise her partner to seek therapy as soon as possible.
  • C. A common side effect of the medicine is a copious vaginal discharge.
  • D. A repeat culture should be taken two weeks after completing the therapy.
Correct Answer: A

Rationale: Bacterial vaginosis increases the risk of preterm labor in pregnant women.

For which health history should the nurse counsel a woman that the diaphragm may lead to a recurrence of her problem?

  • A. Urinary tract infections.
  • B. Herpes simplex infections.
  • C. Deep vein thromboses.
  • D. Human papilloma warts.
Correct Answer: A

Rationale: Diaphragm use can increase the risk of UTIs.

What is an appropriate statement for the nurse to make to a woman with a swollen eye and bruised cheek?

  • A. I am required by law to notify the police department of your injuries.
  • B. Women who are abused often have injuries like yours.
  • C. You must leave your partner before you are injured again.
  • D. It is important that you refrain from doing things that anger your partner.
Correct Answer: B

Rationale: Acknowledging patterns of abuse encourages disclosure.

During the counseling sessions about hepatitis B vaccination, what should the nurse advise the client to receive?

  • A. Hepatitis B immune globulin before receiving the vaccine.
  • B. Vaccine booster every 10 years.
  • C. Complete series of three intramuscular injections.
  • D. Vaccine as soon as she becomes 21.
Correct Answer: C

Rationale: The hepatitis B vaccine requires a complete series of three intramuscular injections.

Which statement by the client indicates understanding about the intrauterine device (IUD)?

  • A. The IUD can remain in place for a year or more.
  • B. I will not menstruate while the IUD is in.
  • C. Pain during intercourse is a common side effect.
  • D. The device will reduce my chances of getting infected.
Correct Answer: A

Rationale: IUDs can remain in place for several years depending on the type.

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