Nokea
Which statement best exemplifies contemporary maternity nursing?
- A. Use of midwives for all vaginal deliveries
- B. Family-centered care
- C. Free-standing birth clinics
- D. Physician-driven care
Correct Answer: B
Rationale: Contemporary maternity nursing focuses on the family's needs and desires, with both midwives and physicians providing care.
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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 aligns with the SMART criteria for expected outcomes. Specific: It clearly states the desired pain level of 2 on a scale of 10. Measurable: It provides a quantifiable measure to assess the outcome. Achievable: The goal is realistic and attainable within a specified time frame. Relevant: It directly addresses the nursing diagnosis of acute pain related to tissue trauma. Time-bound: It includes a timeframe of 1 hour after administration for evaluation.
Choices A, B, and C are incorrect because they do not meet all the SMART criteria. Choice A only focuses on the pain level without a specific timeframe. Choice B mentions pain reduction but lacks a specific target level or timeframe. Choice C mentions pain absence but lacks a specific timeframe for evaluation.
A woman has preinvasive cancer of the cervix. Which modality would the nurse discuss as an available option for a client with this condition?
- A. Cryosurgery
- B. Colposcopy
- C. Hysterectomy
- D. Internal radiation
Correct Answer: A
Rationale: Cryosurgery, laser surgery, and loop electrosurgical excision procedure (LEEP) are techniques used to treat preinvasive lesions. Colposcopy is the examination of the cervix with a stereoscopic binocular microscope that magnifies the view of the cervix.
Which resource best describes a health care service representing the tertiary level of prevention?
- A. Stress management seminars
- B. Childbirth education classes for single parents
- C. BSE pamphlet and teaching
- D. Premenstrual syndrome (PMS) support group
Correct Answer: D
Rationale: A PMS support group represents tertiary prevention, addressing a condition post-occurrence. Primary prevention includes stress management, childbirth education, and BSE pamphlets, which focus on health promotion and early detection.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: A
Rationale: The correct answer is A: State law. Surrogate parenting laws are primarily regulated at the state level in the United States. Each state has its own laws and regulations regarding the legality and requirements of surrogate parenting arrangements. Federal law does not specifically govern surrogate parenting. While individual court decisions may impact specific cases, they do not set overarching regulations for surrogate parenting. Protective child services focus on the welfare and protection of children in cases of abuse or neglect, not on the legality of surrogate parenting arrangements. Thus, state law is the correct answer as it is the primary authority governing surrogate parenting.
A woman is using the basal body temperature (BBT) method of contraception. She calls the clinic and tells the nurse, 'My period is due in a few days, and my temperature has not gone up.' What is the nurse's most appropriate response?
- A. This probably means you're pregnant.
- B. Don't worry; it's probably nothing.
- C. Have you been sick this month?
- D. You probably didn't ovulate during this cycle.
Correct Answer: D
Rationale: The absence of a temperature rise indicates that ovulation has not occurrePregnancy cannot occur without ovulation, so the lack of BBT increase suggests an anovulatory cycle.