Nokea
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
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What is recognized as effective use of hormone replacement therapy (HRT)?
- A. No woman should ever take hormone replacement therapy.
- B. Women experiencing severe menopausal symptoms.
- C. Women with severe coronary artery disease.
- D. Women with a history of breast cancer.
Correct Answer: B
Rationale: HRT is beneficial for managing severe menopausal symptoms.
The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provider see a person at this age?
- A. The person's partner desires permanent sterilization.
- B. Their family told the person they had to get a Pap smear.
- C. The person was late starting care because the first visit should be before the age of 13.
- D. The person may want to discuss their menstrual cycle and hormonal changes.
Correct Answer: D
Rationale: The correct answer is D because at 15 years old, a person AFAB may have questions or concerns about their menstrual cycle and hormonal changes. This age is appropriate for a gynecologic provider visit to address these issues and provide guidance on reproductive health. Choice A is incorrect because partner desires do not dictate gynecologic care. Choice B is incorrect as Pap smears are not typically recommended for individuals under 21. Choice C is incorrect as there is no strict age requirement for the first gynecologic visit.
A patient with Type 1 Diabetes delivers a 9-pound 10 oz. baby by cesarian birth in her 36th week of pregnancy. When monitoring the infant of a mother with diabetes, the nurse should monitor for signs of:
- A. Meconium ileus
- B. Respiratory distress
- C. Physiologic jaundice
- D. Increased intracranial pressure
Correct Answer: B
Rationale: Infants of diabetic mothers are at higher risk for respiratory distress.
What statement by the nurse demonstrates an understanding of an ethical maternal-newborn dilemma?
- A. Female genital mutilation/cutting is a violation of human rights in the United States, but I can understand it is part of their culture.'
- B. I can't understand why the patient got mad when I checked her cervix. I just forgot to ask first.'
- C. Surrogacy should not happen because the surrogate is just in it for the money.'
- D. Every country should have abortion rights.'
Correct Answer: A
Rationale: Rationale: Answer A demonstrates an understanding of cultural relativism, acknowledging different cultural practices without condoning harmful acts. It respects cultural diversity while upholding human rights. Choices B, C, and D lack ethical consideration, empathy, and cultural sensitivity, making them incorrect. B shows a lack of respect for patient autonomy. C displays judgmental views on surrogacy. D oversimplifies a complex ethical issue. In summary, A is correct as it balances cultural understanding with the importance of human rights, while the other choices lack ethical awareness and sensitivity.
The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. It would be a good idea because circumcision is known to prevent penile cancer.
- B. That's something you both will have to decide after you discuss it thoroughly with your doctor.
- C. The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure.
- D. I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'
Correct Answer: D
Rationale: Providing balanced information facilitates informed decision-making.