What is the most important factor for successful teaching of the pregnant client by the maternity nurse?

The order in which the information is presented

The extent to which the pregnancy was planned

The client's readiness to learn

The client's educational background

Answer and Explanation

The Correct Answer is C

Choice A reason: The order in which the information is presented is not the most important factor, as it does not affect the client's motivation or ability to learn. The order of the information should be logical and sequential, but it can vary depending on the client's needs, preferences, and learning style. The nurse should assess the client's prior knowledge and tailor the teaching accordingly.

Choice B reason: The extent to which the pregnancy was planned is not the most important factor, as it does not determine the client's interest or willingness to learn. The pregnancy may be planned or unplanned, but the client may still have questions, concerns, or goals related to the pregnancy. The nurse should respect the client's feelings and emotions and provide support and guidance.

Choice C reason: The client's readiness to learn is the most important factor, as it influences the client's engagement and retention of the information. The client's readiness to learn depends on the client's perception of the relevance, importance, and benefits of the information, as well as the client's physical, psychological, and social readiness. The nurse should assess the client's readiness to learn and use appropriate strategies to enhance it, such as setting realistic and specific objectives, providing positive feedback, and involving the client in the learning process.

Choice D reason: The client's educational background is not the most important factor, as it does not reflect the client's learning needs or capabilities. The client's educational background may vary, but the client may still have similar or different learning needs depending on the pregnancy situation. The nurse should not assume the client's level of understanding or knowledge based on the client's educational background, but rather use simple and clear language, avoid medical jargon, and check for comprehension.

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Correct Answer is D

Explanation

Choice A reason: This is incorrect because oral antiviral therapy is not effective for PID, which is caused by bacterial infection. Antiviral therapy is used for viral infections, such as herpes or HIV.

Choice B reason: This is incorrect because antibiotics only until symptoms subside is not sufficient for PID, which can cause serious complications, such as infertility, ectopic pregnancy, or chronic pelvic pain. Antibiotics should be continued for the full course of treatment, usually 14 days, to ensure complete eradication of the infection.

Choice C reason: This is incorrect because frequent pelvic examination to monitor the progress of healing is not recommended for PID, which can cause inflammation and irritation of the pelvic organs. Pelvic examination should be avoided or minimized to prevent further trauma or spread of the infection.

Choice D reason: This is correct because bed rest in a semi-Fowler position is beneficial for PID, which can cause fluid accumulation and pressure in the pelvic cavity. Bed rest helps to reduce inflammation and pain, while semi-Fowler position helps to drain the fluid and prevent abscess formation.

A. Partial abruptio placentae B. Ectopic pregnancy C. Eclampsia D. Total placenta previa

Correct Answer is D

Explanation

Choice A reason: Partial abruptio placentae is not the correct answer, as it does not always require delivery by cesarean section. Partial abruptio placentae is a condition where the placenta partially separates from the uterine wall before the baby is born. This can cause bleeding, pain, and fetal distress. Depending on the severity of the condition, the gestational age, and the fetal status, the delivery may be vaginal or cesarean.

Choice B reason: Ectopic pregnancy is not the correct answer, as it does not require delivery by cesarean section. Ectopic pregnancy is a condition where the fertilized egg implants outside the uterus, usually in the fallopian tube. This can cause bleeding, pain, and rupture of the tube. Ectopic pregnancy is not viable and needs to be removed surgically or treated with medication. It cannot result in a live birth².

Choice C reason: Eclampsia is not the correct answer, as it does not always require delivery by cesarean section. Eclampsia is a severe complication of preeclampsia, a condition where the pregnant woman develops high blood pressure and protein in the urine. Eclampsia can cause seizures, coma, and death for the mother and the baby. The only cure for eclampsia is delivery of the baby, which may be vaginal or cesarean depending on the maternal and fetal condition.

Choice D reason: Total placenta previa is the correct answer, as it always requires delivery by cesarean section. Total placenta previa is a condition where the placenta completely covers the cervix, the opening of the uterus. This can cause painless bleeding, preterm labor, and fetal distress. Vaginal delivery is impossible and dangerous, as it can cause severe bleeding and damage to the placenta and the baby. Cesarean section is the only safe way to deliver the baby.

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What is the most important factor for successful teaching of the pregnant client by the maternity nurse?

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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