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What should the nurse consider when caring for a client who identifies as a lesbian?
- A. Lesbian women are usually less sexually active than straight women.
- B. Lesbian women need not be asked about domestic violence issues.
- C. Lesbian women should be tested for cervical cancer every three to seven years.
- D. Lesbian women are at higher risk for bacterial vaginosis than are straight women.
Correct Answer: C
Rationale: Regular cervical cancer screening is important for all women.
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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: B
Rationale: The most appropriate response for the nurse in this situation is to encourage open discussion between the parents and the doctor regarding the decision to circumcise their son. This allows the parents to make an informed decision based on their beliefs, values, and medical advice provided by the healthcare provider. It is important for parents to have all the necessary information and support to make the best decision for their child's well-being. The decision to circumcise is a personal one and should be made after careful consideration and consultation with a healthcare professional.
A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:
- A. This is not a birth injury probably just a birthmark
- B. These are caused by forceps used to aid in the delivery of the baby
- C. This a temporary complication that will disappear in about a week
- D. These Mongolian spots, common in dark-skinned babies, disappear within a year
Correct Answer: C
Rationale: Bruising from breech delivery is temporary.
Which factor is a major barrier to health care for adolescent mothers?
- A. Health care workers have a positive attitude.
- B. The hospital or clinic is within walking distance of the girl's home.
- C. Seeing a different nurse aNnd/Ror hIealtGh caBre. pCrovMider at every visit. U S N T O
- D. The institution is open days, evenings, and Saturday by special arrangement.
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.
What intervention is highest priority for a woman entering the emergency department after a stranger rape?
- A. Create a safe environment.
- B. Offer postcoital contraceptive therapy.
- C. Provide sexually transmitted disease prophylaxis.
- D. Take a thorough health history.
Correct Answer: A
Rationale: Ensuring safety is paramount immediately after trauma.
What should be included in counseling about Gardasil, a vaccine for human papillomavirus (HPV)?
- A. Gardasil is not recommended for women who are already sexually active.
- B. Gardasil protects recipients from all strains of the virus.
- C. The most common side effect from the vaccine is pain at the injection site.
- D. Anyone who is allergic to eggs is advised against receiving the vaccine.
Correct Answer: C
Rationale: Pain at the injection site is the most common side effect.