Maternal and Reproductive Health Nursing

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The nurse is describing the difference between community-based nursing and community health nursing. What response best describes the difference?

  • A. A community-based nurse would provide care in a mobile unit in the neighborhood.
  • B. A community-based nurse only provides education.
  • C. A community health nurse performs cardiac assessments.
  • D. A community health nurse only provides hands-on care.
Correct Answer: A

Rationale: The correct answer is A because community-based nursing involves providing care directly to individuals and families within the community, often in non-traditional settings like mobile units or homes. This differs from community health nursing, which focuses on promoting and protecting the health of populations. Choice B is incorrect because community-based nurses do more than just provide education. Choice C is incorrect as cardiac assessments are a specific task that may not always be performed by community health nurses. Choice D is incorrect as community health nurses also provide a range of services beyond hands-on care.

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What must the woman do to ensure the effectiveness of the diaphragm?

  • A. Does not use any cream or jelly with it.
  • B. Douches promptly after its removal.
  • C. Leaves it in place for 6 hours following intercourse.
  • D. Inserts it at least 5 hours prior to having intercourse.
Correct Answer: C

Rationale: Leaving the diaphragm in place for 6 hours ensures spermicide effectiveness.

The nurse is aware that a pre-term neonate may have a potential nutritional problem because of:

  • A. Poor sucking reflex
  • B. A decreased metabolic rate
  • C. Decreased caloric requirement
  • D. Increased absorption of nutrients
Correct Answer: A

Rationale: Pre-term infants often have an immature sucking reflex.

What is the purpose of the standards of care for nurses?

  • A. to guide hospital administration to promote nurses
  • B. to ensure nurses are assessing patients
  • C. to protect the public's safety
  • D. to protect the health-care providers
Correct Answer: C

Rationale: The purpose of the standards of care for nurses is to protect the public's safety. These standards outline the expected level of care and practice to ensure patients receive safe and effective care. By adhering to these standards, nurses can prevent harm and promote positive outcomes for patients. Hospital administration promotion (A) is not the primary purpose, assessing patients (B) is just one aspect of care, and protecting healthcare providers (D) is not the main focus of standards of care.

What signs/symptoms is the client likely to complain of after contracting herpes simplex 2 for the first time?

  • A. Flu-like symptoms.
  • B. Metrorrhagia.
  • C. Amenorrhea.
  • D. Abdominal cramping.
Correct Answer: A

Rationale: Initial herpes simplex infection often presents with flu-like symptoms.

Which comment indicates effective teaching about infection control in adolescents?

  • A. I don't have to worry about getting infected if I have oral sex.
  • B. Teen women are most high risk for sexually transmitted infections (STI).
  • C. The best thing to do if I have sex a lot is to use spermicide each and every time.
  • D. Boys get human immunodeficiency virus (HIV) easier than girls do.
Correct Answer: B

Rationale: Adolescent women are at higher risk for STIs due to biological and behavioral factors.

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