Maternal and Reproductive Health Nursing

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What is a good example of informed consent?

  • A. The nurse hands the patient the stack of consents and asks them to sign them.
  • B. The nurse tells the patient not to worry about reading the consents.
  • C. The nurse alerts the OB that the patient has questions about the cesarean consent.
  • D. The nurse explains that it is not their job to answer questions.
Correct Answer: C

Rationale: The correct answer is C because it demonstrates the nurse's commitment to ensuring the patient understands the consent process. By alerting the OB about the patient's questions, the nurse is facilitating communication between the patient and the healthcare provider responsible for obtaining informed consent. This action promotes transparency and empowers the patient to make an informed decision.

Choices A and B are incorrect because they do not prioritize the patient's understanding and involvement in the consent process. In choice A, the nurse simply hands over the consents without any regard for the patient's comprehension. In choice B, the nurse discourages the patient from reading the consents, which undermines the principle of informed consent.

Choice D is also incorrect as it dismisses the patient's right to ask questions and receive clarification, which is crucial for informed decision-making. The nurse's role includes providing information and addressing concerns to support the patient in making informed choices about their care.

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What action is appropriate for a school nurse noticing a young woman with scars on her knuckles running to the bathroom after lunch?

  • A. Nothing, because her behavior is normal.
  • B. Question the young woman to see if she is being abused.
  • C. Recommend that the young woman be seen by her doctor.
  • D. Follow the young woman to the bathroom.
Correct Answer: C

Rationale: Medical evaluation is necessary to confirm suspected bulimia.

What method would be best for an adolescent woman who refuses to see a gynecologist?

  • A. Contraceptive patch.
  • B. Withdrawal method.
  • C. Female condom.
  • D. Contraceptive sponge.
Correct Answer: A

Rationale: The contraceptive patch does not require a pelvic exam.

How many mL of penicillin G benzathine should the nurse administer to treat syphilis if the dose is 2.4 million units and the concentration is 1,200,000 units/mL?

  • A. 1 mL
  • B. 2 mL
  • C. 3 mL
  • D. 4 mL
Correct Answer: B

Rationale: Calculation: 2.4 million units ÷ 1,200,000 units/mL = 2 mL.

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.

A preterm neonate develops physiologic jaundice and phototherapy is ordered. The nurse understands that this therapy:

  • A. Activates the liver to dispose the bilirubin
  • B. Breaks down the unconjugated bilirubin in the skin to conjugated form permitting excretion
  • C. Activates Vit. K to facilitate excretion of the bilirubin
  • D. Dissolves the bilirubin and allows it to be excreted from the skin
Correct Answer: B

Rationale: Phototherapy converts bilirubin into a form that can be excreted.

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