The nurse should recognize that which of the following statements most accurately describes the client focus of maternity nursing?
Women during labor and birth
Mothers and fathers during hospitalization for childbirth
Families during the childbearing process
Childbearing women during acute illness
The Correct Answer is C
Explanation:
A. Women during labor and birth:
Maternity nursing does involve caring for women during labor and birth. Nurses in labor and delivery units provide support, monitoring, and assistance to women as they progress through labor and deliver their babies. This aspect of maternity nursing focuses specifically on the care of women during the active stages of childbirth, including pain management, labor progression, and ensuring a safe delivery experience.
B. Mothers and fathers during hospitalization for childbirth:
Maternity nursing also involves caring for both mothers and fathers during their hospitalization for childbirth. Nurses provide education, support, and assistance to new parents as they adjust to the postpartum period and learn to care for their newborns. This includes teaching about newborn care, breastfeeding support, postpartum recovery, and emotional support for the entire family unit.
C. Families during the childbearing process:
This choice is the most comprehensive and accurate description of the client focus in maternity nursing. Maternity nursing encompasses care for entire families during the entire childbearing process, from preconception to postpartum. This includes providing education, support, and guidance to expectant parents, assisting with childbirth, promoting bonding and attachment between parents and newborns, and addressing the physical and emotional needs of the family as they navigate the transitions of pregnancy, childbirth, and early parenthood.
D. Childbearing women during acute illness:
While maternity nursing does involve caring for childbearing women during periods of acute illness related to pregnancy or childbirth complications, this focus is more limited compared to the broader scope of caring for families throughout the entire childbearing process. Maternity nurses may be involved in managing complications such as preeclampsia, gestational diabetes, or postpartum hemorrhage, but their role extends beyond acute illness management to include comprehensive prenatal, intrapartum, and postpartum care for women and their families.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
G - Gravida: The number of pregnancies, including the current one.
T - Term births: The number of pregnancies carried to term, typically considered 37 weeks or more.
P - Preterm births: The number of pregnancies delivered between 20 and 37 weeks.
A - Abortions: The number of pregnancies terminated before 20 weeks, including elective abortions and miscarriages.
L - Living children: The number of living children.
Now let's analyze the client's history:
Elective abortion at 9 weeks (terminated pregnancy): This counts as an abortion (A).
Birth of twins at 36 weeks (term births): This counts as two term births (T).
Spontaneous abortion at 15 weeks (miscarriage): This also counts as an abortion (A).
Based on the information provided, the client's GTPAL status would be:
Gravida: 4 (1 terminated pregnancy + 1 twin birth + 1 miscarriage + 1 current pregnancy)
Term births: 2 (1 twin birth)
Preterm births: 0
Abortions: 2 (1 terminated pregnancy + 1 miscarriage)
Living children: 2 (1 twin birth)
Correct Answer is D
Explanation
Explanation:
A. Preeclampsia: Preeclampsia is a condition characterized by high blood pressure and signs of damage to other organs, typically occurring after 20 weeks of pregnancy. While preeclampsia is a concern during pregnancy, it is not directly related to abruptio placentae.
B. Puerperal infection: Puerperal infection refers to an infection that occurs after childbirth. Although infections are a concern in the postpartum period, they are not specifically associated with abruptio placentae unless there are additional risk factors or complications.
C. Anaphylactoid syndrome of pregnancy: Anaphylactoid syndrome of pregnancy (also known as amniotic fluid embolism) is a rare but serious condition where amniotic fluid enters the maternal circulation, potentially causing a severe allergic-like reaction. This condition is not directly related to abruptio placentae.
D. Disseminated intravascular coagulation: DIC is a serious condition where the body's clotting mechanisms are abnormally activated, leading to widespread clot formation in small blood vessels. This can lead to bleeding tendencies and the formation of small blood clots throughout the body. DIC can be a complication of abruptio placentae, especially when there is evidence of bleeding such as petechiae and bleeding around the IV access site. Therefore, it is a significant concern in this context.
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