Nokea
Which documentation on a woman's chart on postpartum day 14 indicates a normal involution process?
- A. Moderate bright red lochial flow
- B. Breasts firm and tender
- C. Fundus below the symphysis and nonpalpable
- D. Episiotomy slightly red and puffy
Correct Answer: C
Rationale: By postpartum day 14, the fundus should be below the symphysis and nonpalpable, indicating normal involution.
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A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse provide for this couple? (Select all that apply.)
- A. Donated embryos can be implanted into the surrogate mother.
- B. The surrogate mother needs to have carried one previous birth to term.
- C. You both need to be infertile to be eligible for surrogate parenting.
- D. Conception can take place outside the surrogate mother’s body and then implanted.
Correct Answer: A
Rationale: A. Donated embryos can be implanted into the surrogate mother: This is a common method in surrogate parenting where embryos from either the intended parents or donors are implanted into the surrogate mother's uterus.
What is the primary difference between hospital care and home health care?
- A. Home care is routinely and continuously delivered by professional staff.
- B. Home care is delivered on an intermittent basis by professional staff.
- C. Home care is delivered for emergency conditions.
- D. Home care is not available 24 hours a day.
Correct Answer: B
Rationale: Home care is provided intermittently by health professionals, who visit clients for specific needs. Hospital care, in contrast, involves continuous professional staff presence. Home care is typically not designed for emergency situations, which require immediate hospital care.
Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to N R I G B.C M U S N T O have a cesarean birth”?
- A. “Everything will be OK.”
- B. “Don’t worry about it. It will be over soon.”
- C. “What concerns you most about a cesarean birth?”
- D. “The physician will be in later and you can talk to him.”
Correct Answer: C
Rationale: The most therapeutic response by the nurse when the patient expresses fear about having a cesarean birth is to offer an open-ended question that explores the patient's concerns further. By asking, "What concerns you most about a cesarean birth?" the nurse acknowledges the patient's fears, encourages communication, and allows the patient to express her feelings and fears in more detail. This response shows empathy and enables the nurse to better address the specific worries and anxieties the patient may have about the procedure. The other options do not effectively address the patient's fears and do not promote therapeutic communication.
A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
- A. The Sheppard-Towner Act of 1921 promoted family-centered care.
- B. Changes in pharmacologic management of labor prompted family-centered care.
- C. Demands by physicians for family involvement in childbirth increased the practice of family-centered care.
- D. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.
Correct Answer: D
Rationale: The statement that parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care is the most accurate regarding the history of family-centered maternity care. Family-centered care evolved in response to the recognition of the importance of family involvement in maternity care and the benefits of promoting bonding between the newborn and their parents. This shift in practice came about in response to increasing parental requests for infants to remain with them rather than being separated in a nursery setting. This marked a significant departure from traditional policies that separated mothers and infants after birth and paved the way for the development of family-centered approaches to maternity care.
The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.