When obtaining a reproductive health history from a female patient, the nurse should:.

Limit the time spent on exploration of intimate topics.

Avoid asking questions that may embarrass the patient.

Use only accepted medical terminology when referring to body parts and functions.

Explain the purpose for the questions asked and how the information will be used.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Limiting the time spent on exploration of intimate topics may result in incomplete information, leading to potential gaps in the patient's health history. It's essential to create a safe and supportive environment, allowing the patient to share necessary information freely.

Choice B rationale:

Avoiding questions that may embarrass the patient could prevent the nurse from gathering crucial information related to the patient's reproductive health. Sensitivity and non-judgmental communication are essential, enabling the patient to openly discuss sensitive topics.

Choice C rationale:

Using accepted medical terminology is important, but it should be balanced with clear communication. Complex medical terms might confuse the patient. It's essential to use language that the patient can understand, ensuring effective communication and a better understanding of their health.

Choice D rationale:

This statement indicates a correct understanding of the best approach when obtaining a reproductive health history. Explaining the purpose for the questions asked and how the information will be used builds trust and helps the patient feel more comfortable sharing sensitive information. It also ensures that the patient understands the relevance of the questions, fostering open communication between the patient and the healthcare provider.

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Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:
Correction of acidosis is not the primary intervention for vaso-occlusive sickle cell crisis. The crisis primarily involves pain due to the obstruction of blood flow by sickled cells. Correcting acidosis is not a direct treatment for this condition.
Choice B rationale:
Adequate hydration is essential in managing vaso-occlusive sickle cell crisis. Proper hydration helps prevent dehydration, which can worsen the crisis and lead to complications. Hydration helps maintain blood flow and prevent further sickling of red blood cells.
Choice C rationale:
Pain management is a crucial intervention for a child with vaso-occlusive sickle cell crisis. Pain results from tissue ischemia caused by sickled red blood cells. Effective pain management, often with analgesics, helps improve the child's comfort and quality of life during the crisis.
Choice D rationale:
Administration of heparin is not indicated for vaso-occlusive sickle cell crisis. Heparin is an anticoagulant that prevents blood clot formation. In sickle cell crisis, the primary issue is the obstruction of blood flow by sickled cells, not the formation of clots. Administering heparin may not address the underlying problem and can lead to potential complications.
Choice E rationale:
Replacement of factor VIII is not relevant to vaso-occlusive sickle cell crisis. Factor VIII is a protein involved in blood clotting and is primarily used in the treatment of hemophilia, a different condition unrelated to sickle cell crisis.

A. only in the third trimester from the maternal circulation. B. by a needlestick injury at birth from unsterile instruments. C. only through the ingestion of amniotic fluid. D. through the ingestion of breast milk from an infected mother.

Correct Answer is D

Explanation

Choice A rationale:

Perinatal transmission of HIV can occur not only in the third trimester but also during labor and delivery. It is not limited to the maternal circulation alone.

Choice B rationale:

While needlestick injuries are a potential risk for healthcare workers, perinatal transmission to the newborn does not occur through this route.

Choice C rationale:

HIV is not transmitted through the ingestion of amniotic fluid. The virus can be present in the amniotic fluid, but the main route of transmission to the newborn is during delivery or through breastfeeding.

Choice D rationale:

The correct answer. HIV can be transmitted from an infected mother to her child through breastfeeding if appropriate antiretroviral therapy is not administered. Breast milk can contain the virus, putting the infant at risk of infection. Therefore, in cases where the mother is HIV-positive, formula feeding is recommended to prevent transmission of the virus to the newborn.

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When obtaining a reproductive health history from a female patient, the nurse should:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's care should include which intervention? (Select all that apply.).

Correct Answer is ["B","C","E"]

Explanation

Human immunodeficiency virus (HIV) may be perinatally transmitted.

Correct Answer is D

Explanation

A child is diagnosed with juvenile hypothyroidism. The nurse should expect to assess which symptoms are associated with hypothyroidism. (Select all that apply.).

The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician of what conditions occur. (Select all that apply.).

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A woman is 14 weeks pregnant with her first baby.She asks how long it will be before she feels the baby move.The best answer is:.