Nokea
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.
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A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse provide for this couple? (Select all that apply.)
- A. Donated embryos can be implanted into the surrogate mother.
- B. The surrogate mother needs to have carried one previous birth to term.
- C. You both need to be infertile to be eligible for surrogate parenting.
- D. Conception can take place outside the surrogate mother’s body and then implanted.
Correct Answer: A
Rationale: A. Donated embryos can be implanted into the surrogate mother: This is a common method in surrogate parenting where embryos from either the intended parents or donors are implanted into the surrogate mother's uterus.
Which situation is most representative of an extended family?
- A. It includes adoptive children.
- B. It is headed by a single-parent.
- C. It contains children from previous marriages.
- D. It is composed of children, parents, and grandparents living in the same house.
Correct Answer: D
Rationale: An extended family is a type of family unit that includes not only the nuclear family (parents and children) but also other relatives such as grandparents, aunts, uncles, cousins, etc., all living together or in close proximity. Option D, which states that the family is composed of children, parents, and grandparents living in the same house, is most representative of an extended family structure. This situation reflects the multi-generational aspect of an extended family where multiple generations live together and contribute to the household dynamics.
In which culture is the father more likely to be expected to participate in the labor and delivery?
- A. Asian-American
- B. African-American
- C. European-American
- D. Hispanic
Correct Answer: C
Rationale: European-American families generally expect fathers to take an active role in the labor and delivery process compared to other cultural groups.
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.
The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.