Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?

  • A. Diet and exercise will promote weight loss, which will decrease
    hyperandrogenemia
  • B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
  • C. Diet and exercise will decrease serum lipid levels and lower the risk for
    cardiovascular disease.
  • D. Diet and exercise will increase the frequency of ovulation and menstruation and
    increase fertility.
Correct Answer: E

Rationale: The correct answer is missing from the choices provided. However, I can provide a rationale for each choice:

A: Diet and exercise can help promote weight loss, which can decrease hyperandrogenemia by reducing insulin resistance and decreasing androgen levels.
B: While diet and exercise can decrease the risk of type 2 diabetes and gestational diabetes in women with PCOS, this is not directly related to reducing hirsutism and acne symptoms.
C: Diet and exercise can improve lipid levels and reduce cardiovascular risk in women with PCOS, but this is not the primary goal when addressing hirsutism and acne.
D: Diet and exercise can improve ovulation and menstrual regularity, which may help with fertility in women with PCOS, but this is not directly related to reducing hirsutism and acne.

In summary, the correct answer should focus on how diet and weight loss can specifically impact hirsutism and acne in women with PCOS.

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Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?

  • A. Varicosities of the legs
  • B. Carpal tunnel syndrome
  • C. Periodic numbness and tingling of the fingers
  • D. Headaches
Correct Answer: D

Rationale: Headaches in the postpartum period can have a number of causes, some of which deserve medical attention.

Which information regarding substance abuse is important for the nurse to understand?

  • A. Cigarette smoking has little effect on maternity-related health.
  • B. Women, ages 21 to 34 years, have the highest rates of specific alcohol-related problems.
  • C. Coffee is a stimulant that has been related to birth defects.
  • D. Prescription psychotherapeutic drugs do not affect the fetus.
Correct Answer: B

Rationale: Alcohol abuse during pregnancy has been associated with many negative outcomes. Cigarette smoking impairs fertility and causes low-birth-weight infants.

The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?

  • A. Providing more women’sN sheRlterIs G B.C M U S N T O
  • B. Ensuring early and adequate prenatal care
  • C. Resolving all language and cultural differences
  • D. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Correct Answer: B

Rationale: The correct answer is B: Ensuring early and adequate prenatal care. Early and adequate prenatal care is crucial in identifying and addressing any potential health issues for both the mother and the baby, leading to healthier outcomes and a decrease in infant mortality rates. Providing more women's shelters (A) may help with social support but does not directly impact infant mortality rates. Resolving all language and cultural differences (C) is important for effective communication but does not directly impact infant mortality rates. Enrolling pregnant women in the Medicaid program (D) is beneficial for access to healthcare, but ensuring early and adequate prenatal care is more directly linked to decreasing infant mortality rates.

A nurse is teaching a pregnant client who is Rh-negative about Rh (D) immune globulin. Which of the following statements by the client indicates an understanding of the teaching?

  • A. If my partner is Rh-negative, I will not receive the shot.
  • B. I will receive the shot after delivery if my baby is Rh-negative.
  • C. I should not receive any immunizations for 3 months after the shot.
  • D. This shot may be given after birth to protect future pregnancies.
Correct Answer: A

Rationale: If the partner is Rh-negative, the fetus cannot be Rh-positive, so Rh (D) immune globulin is unnecessary.

Which statement is the most comprehensive description of sexual violence?

  • A. Sexual violence is limited to rape.
  • B. Sexual violence is an act of force during which an unwanted and uncomfortable sexual act occurs.
  • C. Sexual violence encompasses a number of sexual acts.
  • D. Sexual violence includes degrading sexual comments and behaviors.
Correct Answer: C

Rationale: Sexual violence includes a range of victimization, including sexual assault, harassment, and rape. It is broader than rape alone.

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