Current Issues in Maternal Newborn Nursing

Current Issues in Maternal Newborn Nursing Related

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Which actions by the nurse indicate compliance with the Health Insurance Portability and Accountability Act (HIPAA)? (Select all that apply.)

  • A. The nurse posts an update about a patient on Facebook.
  • B. The nurse gives the report to the oncoming nurse in a private area.
  • C. The nurse gives information about the patient’s status over the phone to the patient’s friend.
  • D. The nurse logs off any computer screen showing patient data before leaving the computer unattended.
Correct Answer: B

Rationale: The correct answer is B because giving a report to the oncoming nurse in a private area maintains patient confidentiality, which is a key aspect of HIPAA compliance. This action ensures that patient information is not disclosed to unauthorized individuals.

Explanation of other choices:
A: Posting patient updates on social media violates patient privacy and is a breach of HIPAA.
C: Giving patient information over the phone to a friend is a violation of patient confidentiality under HIPAA.
D: Logging off the computer screen before leaving unattended is a good practice for data security but does not directly relate to HIPAA compliance regarding patient information privacy.

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To provide culturally competent care to an Asian-American family, which question should the nurse include during the assessment interview?

  • A. Do you prefer hot or cold beverages?
  • B. Do you want some milk to drink?
  • C. Do you want music playing while you are in labor?
  • D. Do you have a name selected for the baby?
Correct Answer: A

Rationale: Asian-American families may have cultural preferences for warm beverages, especially during labor and delivery. Offering milk may be inappropriate as many in this group exclude milk from their diet. Silence is preferred during labor, and baby naming may be delayed in some traditions.

After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What is the correct term for this process?

  • A. Autolysis
  • B. Subinvolution
  • C. Afterpains
  • D. Diastasis
Correct Answer: A

Rationale: Autolysis is caused by a decrease in hormone levels, leading to the self-destruction of excess uterine tissue.

The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?

  • A. Clarifying
  • B. Paraphrasing
  • C. Reflection
  • D. Structuring
Correct Answer: C

Rationale: The correct answer is C: Reflection. The nurse is using the communication technique of reflection by restating the patient's feelings back to her. This technique helps the patient feel heard and understood, promoting a therapeutic relationship. Clarifying (A) involves seeking further information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves organizing the conversation - none of which are demonstrated in the scenario.

The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
of 10. Which expected outcome is correctly stated for this problem?

  • A. Patient will state that pain is a 2 on a scale of 10.
  • B. Patient will have a reduction in pain after administration of the prescribed
  • C. Patient will state an absence of pain 1 hour after administration of the prescribed
  • D. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of
Correct Answer: D

Rationale: The correct answer is D because it reflects a specific, measurable, and realistic expected outcome for the nursing diagnosis of acute pain. It includes the patient's subjective pain rating (2 on a scale of 10) and a time frame (1 hour after administration of medication). This outcome is achievable and provides a clear target for evaluating the effectiveness of pain management.

Option A is incorrect as it does not specify a time frame or intervention. Option B is vague and lacks a measurable outcome. Option C is also vague and lacks a clear time frame for evaluation. Overall, option D is the best choice as it aligns with the SMART criteria for expected outcomes in nursing care planning.

Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?

  • A. Perineum
  • B. Bony pelvis
  • C. Vaginal vestibule
  • D. Fourchette
Correct Answer: B

Rationale: The bony pelvis provides protection and support for the growing fetus during pregnancy.

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