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The nurse working in a maternity clinic suspects that a client and her children are in a violent relationship. While waiting for test results, the nurse decides to teach the client about intimate partner violence. What would be the best rationale for the nurse's decision?
- A. The nurse knows that the woman may be weak and controlled by her partner.
- B. The nurse has a legal responsibility to protect clients.
- C. The nurse understands there is an ethical responsibility to protect clients.
- D. The nurse knows that children exposed to family violence are likely to be victims of abuse.
Correct Answer: D
Rationale: Children exposed to family violence are more likely to be physically, sexually, or emotionally abused themselves. Children have died from family violence and neglect when no one has intervened on their behalf.
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A community health nurse recognizes an increase in maternal mortality in the neighborhood. What could the community health nurse do?
- A. Conduct weekly prenatal appointments in their home.
- B. Draw blood on all pregnant persons to look for anemia.
- C. Assess the health of a baby using an ultrasound.
- D. Develop an educational pamphlet discussing signs of preeclampsia.
Correct Answer: D
Rationale: The correct answer is D because developing an educational pamphlet discussing signs of preeclampsia can help raise awareness and educate pregnant individuals about a life-threatening condition contributing to maternal mortality. This intervention can empower individuals to recognize warning signs early, seek timely medical care, and potentially prevent adverse outcomes. Conducting weekly prenatal appointments in their home (Choice A) may not address the underlying causes of maternal mortality and may not be feasible for all pregnant individuals. Drawing blood on all pregnant persons to look for anemia (Choice B) may not be the most effective strategy to address maternal mortality as anemia is just one of many contributing factors. Assessing the health of a baby using an ultrasound (Choice C) does not directly address the issue of maternal mortality and focuses on fetal, rather than maternal, well-being.
What is the most appropriate response by the nurse to a young woman stating she is pregnant and wants to do something about it?
- A. You can take medicine to abort the pregnancy so your parents won't know.
- B. Let's talk about your options.
- C. The best thing for you to do is to have the baby and to give it up for adoption.
- D. I can help you tell your parents.
Correct Answer: B
Rationale: Exploring options empowers the client to make informed decisions.
The nurse is caring for a pregnant person who is living in an underserved area of town with a history of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease the risk of maternal mortality?
- A. Connect the patient to a counselor.
- B. Educate the patient on the risk factors for maternal mortality.
- C. Give prn albuterol for asthma.
- D. Discuss how they need to move out of the poor area of town.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Connecting the patient to a counselor addresses the underlying issues of childhood abuse and opioid use disorder, which can contribute to maternal mortality.
2. Counseling can provide support, coping strategies, and mental health assistance crucial for at-risk individuals.
3. Addressing mental health concerns can improve overall well-being and increase the likelihood of seeking appropriate prenatal care.
Summary:
B: While education on risk factors is important, it may not directly address the patient's specific mental health and trauma history.
C: Giving albuterol for asthma is essential but does not directly address the underlying factors contributing to maternal mortality.
D: Moving out of the poor area is not a feasible or realistic solution and does not address the patient's mental health and substance abuse issues.
A nurse is preparing a breast cancer presentation for a health forum. Which fact would the nurse expect to address in this presentation?
- A. Breast cancer is more advanced in Black women when found.
- B. Black women have the BRCA1 and BRCA2 gene.
- C. More Hispanic women smoke, which increases their risk.
- D. White women respond better to breast cancer treatment.
Correct Answer: A
Rationale: White women get breast cancer at a higher rate than Black women; however, Black women are more likely to die because they get breast cancer before 40 years of age, cancer is more advanced when found, and survival at every cancer stage is worse among Black women.
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.