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The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provider see a person at this age?
- A. The person's partner desires permanent sterilization.
- B. Their family told the person they had to get a Pap smear.
- C. The person was late starting care because the first visit should be before the age of 13.
- D. The person may want to discuss their menstrual cycle and hormonal changes.
Correct Answer: D
Rationale: The correct answer is D because at 15 years old, a person AFAB may have questions or concerns about their menstrual cycle and hormonal changes. This age is appropriate for a gynecologic provider visit to address these issues and provide guidance on reproductive health. Choice A is incorrect because partner desires do not dictate gynecologic care. Choice B is incorrect as Pap smears are not typically recommended for individuals under 21. Choice C is incorrect as there is no strict age requirement for the first gynecologic visit.
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What is a good example of informed consent?
- A. The nurse hands the patient the stack of consents and asks them to sign them.
- B. The nurse tells the patient not to worry about reading the consents.
- C. The nurse alerts the OB that the patient has questions about the cesarean consent.
- D. The nurse explains that it is not their job to answer questions.
Correct Answer: C
Rationale: The correct answer is C because it demonstrates the nurse's commitment to ensuring the patient understands the consent process. By alerting the OB about the patient's questions, the nurse is facilitating communication between the patient and the healthcare provider responsible for obtaining informed consent. This action promotes transparency and empowers the patient to make an informed decision.
Choices A and B are incorrect because they do not prioritize the patient's understanding and involvement in the consent process. In choice A, the nurse simply hands over the consents without any regard for the patient's comprehension. In choice B, the nurse discourages the patient from reading the consents, which undermines the principle of informed consent.
Choice D is also incorrect as it dismisses the patient's right to ask questions and receive clarification, which is crucial for informed decision-making. The nurse's role includes providing information and addressing concerns to support the patient in making informed choices about their care.
When assessing a family for barriers to health care, the nurse documents the psychosocial barriers. What is an example of this type of health care deficit?
- A. Academic difficulties
- B. Respiratory illness
- C. Poor sanitation
- D. Inherited diseases
Correct Answer: A
Rationale: Environmental and psychosocial factors are now an identified area of concern in children. They include academic differences, complex psychiatric disorders, self-harm and harm to others, use of firearms, hostility at school, substance use disorder, HIV/AIDS, and adverse effects of the media.
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
What is the best description of the history of gynecologic care in the United States over the past century?
- A. Reproductive health care has been under control of persons AFAB since the 1900s.
- B. The health-care system has always been fair to persons AFAB with regard to shared decision making.
- C. Activist groups are fighting sexism in health care.
- D. Researchers had to stop including persons AFAB in pharmacologic research trials.
Correct Answer: C
Rationale: The correct answer is C because activist groups have played a significant role in fighting sexism in gynecologic care over the past century. These groups have advocated for better healthcare access, reproductive rights, and gender equality. This is supported by historical evidence of movements such as the women's rights movement and advocacy for reproductive justice.
Choice A is incorrect as reproductive health care has not always been under the control of persons assigned female at birth (AFAB) since the 1900s, as there have been significant disparities and challenges faced by individuals in accessing quality care. Choice B is incorrect as the healthcare system has not always been fair in shared decision-making with persons AFAB, with historical examples of paternalistic practices. Choice D is incorrect as excluding persons AFAB from research trials would be unethical and discriminatory, which is not reflective of the overall history of gynecologic care.
What assessment is most accurate for a young woman admitted without memory of the previous evening?
- A. The woman is spoiled and is exhibiting attention-seeking behavior.
- B. The woman is experiencing a psychotic break.
- C. The woman regrets having had consensual sex.
- D. The woman unknowingly ingested a date rape drug.
Correct Answer: D
Rationale: Date rape drugs impair memory and judgment.