A pregnant adolescent believes that people from the Bronx are stupid because they do not agree with her pregnancy.

What does this type of belief represent?

Choice A rationale
The nurse’s action of providing everyone with a copy of the latest research on improving the success of breastfeeding for first-time mothers aligns with the Quality and Safety Education for Nurses (QSEN) competency of Evidence-based Practice. This competency emphasizes the use of current best evidence in making decisions about the care of individual patients or the delivery of health services. By sharing the latest research, the nurse is ensuring that the care conference is informed by the most recent and relevant evidence, thereby enhancing the quality of the discussions and decisions made. This is a key aspect of evidence-based practice, which seeks to integrate clinical expertise with the best available external clinical evidence from systematic research.
Choice B rationale
While Teamwork and Collaboration is indeed a QSEN competency, it does not specifically pertain to the use of research in improving patient outcomes. This competency primarily involves functioning effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. Although the nurse’s action of sharing research could be seen as contributing to teamwork and collaboration, it is more directly related to the competency of Evidence-based Practice.
Choice C rationale
Quality Improvement is another important QSEN competency, but it does not directly relate to the nurse’s action in this scenario. This competency involves using data to monitor the outcomes of care processes, and using improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems. While the use of research can certainly contribute to quality improvement, the nurse’s action of sharing research on breastfeeding is more directly tied to the Evidence-based Practice competency.

Choice A rationale
The recommended weight gain for a pregnant woman depends on her pre-pregnancy BMI. For a woman who is underweight (BMI < 18.5), the recommended weight gain is about 28-40 pounds. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Choice B rationale
While it’s true that weight gain should be gradual during pregnancy, a gain of about a pound per week is not a specific recommendation for a woman with a BMI of 26.54.
Choice C rationale
For a woman who is overweight before pregnancy (BMI 25.0-29.9), the recommended weight gain is about 15 to 25 pounds. Therefore, this choice is the most appropriate for a woman with a BMI of 26.5.
Choice D rationale
The recommendation of a weight gain of about 25 to 35 pounds is for women who had a normal weight (BMI 18.5-24.9) before pregnancy. Therefore, this choice is not applicable for a woman with a BMI of 26.5.