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While teaching an Asian patient regarding prenatal care, the nurse notes that the patient refuses to make eye contact. Which is the most likely cause for this behavior?
- A. A submissive attitude
- B. Lack of understanding
- C. Embarrassment about the subject
- D. Cultural beliefs about eye contact
Correct Answer: D
Rationale: In many Asian cultures, avoiding eye contact can be a sign of respect, modesty, or a way to show deference to authority figures. Making direct eye contact during a conversation, especially with someone in a position of authority like a healthcare provider, can be seen as disrespectful or confrontational. Understanding and respecting these cultural beliefs is crucial when providing care to patients from diverse backgrounds. It is important for healthcare providers to be aware of these cultural differences and adjust their communication styles accordingly to ensure effective and culturally sensitive care.
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While teaching an Asian patient regarding prenatal care, the nurse notes that the patient refuses to make eye contact. Which is the most likely cause for this behavior?
- A. A submissive attitude
- B. Lack of understanding
- C. Embarrassment about the subject
- D. Cultural beliefs about eye contact
Correct Answer: D
Rationale: In many Asian cultures, avoiding eye contact can be a sign of respect, modesty, or a way to show deference to authority figures. Making direct eye contact during a conversation, especially with someone in a position of authority like a healthcare provider, can be seen as disrespectful or confrontational. Understanding and respecting these cultural beliefs is crucial when providing care to patients from diverse backgrounds. It is important for healthcare providers to be aware of these cultural differences and adjust their communication styles accordingly to ensure effective and culturally sensitive care.
The nurse is caring for a 33-year-old female patient who has just undergone laparoscopic removal of endometrial lesions. Which statement by the patient illustrates her understanding of the disease process and prognosis?
- A. I realize that this is not a cure for the issue, but I want to have more children within the next year.
- B. I'm happy to know that the surgeon has been able to cure me of this disease without a hysterectomy.
- C. I realize that my type 2 diabetes will be cured now that I have those lesions removed
- D. I understand that I will not have to have a colostomy now that the growths were removed from my bowels.
Correct Answer: A
Rationale: Choice A is the correct answer because the patient acknowledges that the laparoscopic removal of endometrial lesions is not a cure for her issue. She demonstrates understanding by mentioning her desire to have more children within the next year, indicating that she recognizes the need for continued monitoring and management of her condition. Choices B, C, D, and E are incorrect because they do not accurately reflect the disease process and prognosis associated with endometrial lesions.
Which nursing intervention is written correctly?
- A. Force fluids as necessary.
- B. Observe interaction with the infant.
- C. Encourage turning, coughing, and deep breathing. N R I G B.C M U S N T O
- D. Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM.
Correct Answer: D
Rationale: The correct nursing intervention that is written correctly is option D. The intervention "Assist to ambulate for 10 minutes at 8 AM, 2 PM, and 6 PM" is clear, specific, and provides a specific time frame for the activity. It is important in nursing documentation to be precise and clearly state the details of the intervention to ensure effective communication among healthcare team members. This intervention also specifies the frequency and duration of the ambulation activity, which helps in ensuring continuity of care and proper execution of the intervention for the patient.
What STIs can cause one of the TORCH infections in the fetus?
- A. HPV
- B. HSV
- C. HIV
- D. syphilis
Correct Answer: D
Rationale: Syphilis is one of the STIs that can cause one of the TORCH infections in a fetus. TORCH infections are a group of infections that can be passed from a pregnant woman to her fetus and include toxoplasmosis, rubella, cytomegalovirus, herpes simplex virus, and syphilis. When a pregnant woman with untreated syphilis transmits the infection to her fetus, it can result in congenital syphilis, which can have serious consequences such as stillbirth, prematurity, low birth weight, and developmental delays. Syphilis is thus an important infectious cause of prenatal and neonatal morbidity and mortality.
In consideration of the historic evolution of maternity care, which treatment options were used over the past century? (Select all that apply.)
- A. During the nineteenth century, women of privilege were delivered by midwives in a hospital setting.
- B. Granny midwives received their training through a period of apprenticeship.
- C. The recognition of improved obstetric outcomes was related to increased usage of hygienic practices.
- D. A shift to hospital-based births occurred as a result of medical equipment designed to facilitate birth.
Correct Answer: A
Rationale: A. During the nineteenth century, women of privilege were typically delivered by midwives in a hospital setting. This practice was common among the wealthier class, as midwives were often considered the primary caregivers during childbirth.