Maternal and Reproductive Health Nursing

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What is the best description of the history of gynecologic care in the United States over the past century?

  • A. Reproductive health care has been under control of persons AFAB since the 1900s.
  • B. The health-care system has always been fair to persons AFAB with regard to shared decision making.
  • C. Activist groups are fighting sexism in health care.
  • D. Researchers had to stop including persons AFAB in pharmacologic research trials.
Correct Answer: C

Rationale: The correct answer is C because activist groups have played a significant role in fighting sexism in gynecologic care over the past century. These groups have advocated for better healthcare access, reproductive rights, and gender equality. This is supported by historical evidence of movements such as the women's rights movement and advocacy for reproductive justice.

Choice A is incorrect as reproductive health care has not always been under the control of persons assigned female at birth (AFAB) since the 1900s, as there have been significant disparities and challenges faced by individuals in accessing quality care. Choice B is incorrect as the healthcare system has not always been fair in shared decision-making with persons AFAB, with historical examples of paternalistic practices. Choice D is incorrect as excluding persons AFAB from research trials would be unethical and discriminatory, which is not reflective of the overall history of gynecologic care.

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A preschool child is scheduled to undergo a diagnostic test. Which action by the nurse would violate a child's bill of health care rights?

  • A. Arranging for her mother to be with her
  • B. Telling the child the test will not hurt
  • C. Assuring the child that the test will be done quickly
  • D. Introducing the child to the lab technicians
Correct Answer: B

Rationale: Telling the child the test will not hurt lacks veracity. It is not a lie, but it does not honor the child's right to be educated honestly about his or her health care.

The best indication that correct attachment to the breast has occurred is when the:

  • A. Baby's tongue is securely on top of the nipple.
  • B. Baby's mouth covers most of the areolar surface
  • C. Baby makes frequent loud clucking sounds while nursing at each breast
  • D. Baby sucks each breast vigorously for five minutes before falling asleep
Correct Answer: B

Rationale: Proper latch includes covering most of the areola.

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.

To prevent the kidnapping of newborns from the hospital, the nurse should:

  • A. instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
  • B. question anyone who is seen walking in the hallways carrying an infant.
  • C. allow no visitors in the maternity area except those who have identification bracelets.
  • D. restrict the amount of time infants are out of the nursery.
Correct Answer: B

Rationale: Questioning individuals carrying infants ensures security.

The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient has any problems with sexual dysfunction. Why is it important for the nurse to ask all patients this question?

  • A. Some people may not bring up the topic of sex due to taboos and stigma.
  • B. All patients will eventually have sexual problems.
  • C. Nurses should ask because other health-care providers are not trained to ask those questions.
  • D. Sexual dysfunction is a taboo only for persons AFAB.
Correct Answer: A

Rationale: The correct answer is A because sexual dysfunction is a sensitive and often stigmatized topic. By proactively asking all patients about sexual function, regardless of gender, the nurse creates an open and safe space for patients to disclose any issues they may be facing. Some individuals may feel uncomfortable or embarrassed discussing sexual problems, so it is crucial for healthcare providers to initiate the conversation. This approach allows for early identification and intervention, leading to better patient care and outcomes.

Choice B is incorrect because not all patients will experience sexual problems. Choice C is incorrect as it is the responsibility of all healthcare providers to address sexual health concerns. Choice D is incorrect as sexual dysfunction can affect individuals of any gender.

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