Nokea
A primipara patient asks about possible support options for her during the labor process. She is apprehensive that her family members will not be prepared to assist her during this time. Which option would be most effective for this patient?
- A. Reassure the patient that the labor and birth staff consists of highly trained nurses who are well educated to take care of laboring patients so that should be sufficient.
- B. Encourage the patient to take prepared childbirth classes with her husband because that should provide the best support by a family member.
- C. Provide information to the patient about obtaining a doula during the labor process.
- D. Tell the patient that this is a normal feeling based on fear of the unknown and that it will subside once she starts the labor process.
Correct Answer: C
Rationale: Providing information to the patient about obtaining a doula during the labor process is the most effective option in this scenario. A doula is a trained professional who provides physical, emotional, and informational support to the mother before, during, and after childbirth. They can help the mother feel supported and empowered during labor, especially if family members are unavailable or unprepared to offer the necessary support. Doulas can also help in communication with the medical staff, advocate for the mother's preferences, and provide comfort measures. Therefore, recommending the option of obtaining a doula would help address the patient's concerns about support during labor.
You may also like to solve these questions
The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse, “I have not received any prenatal care because I cannot afford to go to the doctor. And, this is my third baby, so I know what to expect.” What is the nurse’s primary concern when developing the patient’s plan of care?
- A. Low birth weight
- B. Oligohydramnios
- C. Gestational diabetes
- D. Gestational hypertension
Correct Answer: A
Rationale: The nurse's primary concern when developing the plan of care for a patient who has not received prenatal care and is now in active labor is the risk of low birth weight for the baby. Prenatal care plays a crucial role in monitoring the health of the pregnant woman and her baby, ensuring appropriate growth and development, and identifying any potential issues early on. Without prenatal care, important factors such as maternal nutritional status, appropriate weight gain, screening for conditions that can affect the baby's growth, and management of any complications during pregnancy may not have been addressed. As a result, the baby is at increased risk for being born with a low birth weight, which can lead to various health problems and complications both immediately after birth and in the long term. Therefore, the nurse should prioritize monitoring and addressing the risk of low birth weight in this situation.
Which statement related to the condition of endometriosis is most accurate?
- A. Endometriosis is characterized by the presence and growth of endometrial tissue inside the uterus
- B. It is found more often in African-American women than in Caucasian or Asian women
- C. Endometriosis may worsen with repeated cycles or remain asymptomatic and disappear after menopause
- D. It is unlikely to affect sexual intercourse or fertility
Correct Answer: C
Rationale: Endometriosis is the growth of endometrial tissue outside the uterus and may cause symptoms such as painful intercourse and infertility. It can worsen with repeated cycles or remain asymptomatic.
The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health?
- A. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility.
- B. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts.
- C. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk.
- D. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.
Correct Answer: A
Rationale: The education that the nurse should provide to the lesbian patient pertains to her health includes the fact that lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. It is important for the nurse to be aware of potential health risks that may affect lesbians specifically, as this knowledge can help in providing appropriate care and interventions. By addressing these specific health concerns, the nurse can promote the patient's overall well-being and empower her to take proactive steps to maintain her health.
During which phase of the cycle of violence does the batterer become contrite and remorseful?
- A. Battering
- B. Honeymoon
- C. Tension-building
- D. Increased drug taking
Correct Answer: B
Rationale: During the cycle of violence, the batterer displays contrition and remorse during the Honeymoon phase. This phase follows the Battering phase, characterized by the abusive behavior and violence, and precedes the Tension-building phase where stress and tension begin to escalate. The Honeymoon phase is marked by the abuser showing remorse, apologizing, and trying to make amends for their violent behavior. This phase often involves the abuser being extra charming, affectionate, and demonstrating efforts to reconcile with the victim. It is important to note that the Honeymoon phase is often temporary and is part of the cycle that may repeat unless intervention and support are sought.
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has the condition. The couple tells the nurse that they are having a second baby. Because their daughter has PKU, they are certain that this baby will not be affecteWhich response by the nurse is the most accurate?
- A. Good planning. You need to take advantage of the odds that are in your favor.
- B. I think you'd better first check with your physician.
- C. You are both carriers; therefore, each baby has a 25% chance of being affected.
- D. The ultrasound indicates a boy, and boys are not affected by PKU.
Correct Answer: C
Rationale: Each child conceived by this couple has a one-in-four chance of being affected with the PKU disorder. This couple still has an increased likelihood of having a child with PKU; having one child already with PKU does not guarantee that they will not have another. These parents need to discuss their options with their physician. However, an opportune time has presented itself for the couple to receive correct teaching about inherited genetic risks. No correlation exists between gender and inheritance of the disorder, because PKU is an autosomal recessive disorder.