A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried.
My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.
Trying to reassure herself concerning the present situation.
Coping as expected in this situation.
Anxious to see the new baby.
Able to use previously learned knowledge in a new situation.
The Correct Answer is A
The correct answer is choice A. The client is trying to reassure herself concerning the present situation. This is a common coping strategy for women who face the risk of preterm labor and delivery. The client may be experiencing fear, anxiety, or denial about the possible outcomes of her pregnancy.
Choice B is wrong because coping as expected in this situation implies that there is a normal or standard way of coping with preterm labor, which is not true. Different women may cope differently depending on their personal, social, and emotional factors.
Choice C is wrong because anxious to see the new baby does not reflect the client’s statement.
The client is not expressing excitement or eagerness about the birth, but rather a rationalization that everything will be okay despite the risks.
Choice D is wrong because able to use previously learned knowledge in a new situation does not apply to the client’s statement.
The client is not using her sister’s experience as a source of information or guidance, but rather as a way of minimizing or dismissing her own situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. The patient has heart disease, and the antibiotics will decrease the risk to her fetus of developing endocarditis.Endocarditis is an infection of the inner lining of the heart and valves, which can be caused by bacteria entering the bloodstream during labor and delivery.Patients with mitral valve prolapse (MVP) are more prone to develop endocarditis because their valve leaflets are floppy and do not close tightly, creating a site for bacterial attachment.Antibiotics can help prevent this complication by killing the bacteria before they reach the heart.
Choice B is wrong because pericarditis is an inflammation of the outer layer of the heart, not the inner lining or valves.It is not related to MVP or bacterial infection.
Choice C is wrong because chorioamnionitis is an infection of the membranes and fluid that surround the fetus, not the heart.It is usually caused by bacteria ascending from the vagina or cervix, not from the bloodstream.
Choice D is wrong because delivering post-term does not increase the risk of systemic infection for the fetus.Systemic infection means infection that affects multiple organs or systems in the body, not just one specific site.
Correct Answer is C
Explanation
The correct answer is choice C. The reason for the patient’s visit at this time.
This information will help the nurse assess the patient’s motivation, readiness, and urgency for contraception.
It will also help the nurse tailor the education and counseling to the patient’s specific needs and preferences.
Choice A is wrong because the amount of sexual experience that the patient has had is not relevant to determine the patient’s knowledge base.
It may also make the patient feel uncomfortable or judged.
Choice B is wrong because the type of contraceptive that the patient’s friends are using is not a reliable source of information.
Different methods may have different advantages and disadvantages for different people.
The nurse should provide evidence-based information and guidance on various options.
Choice D is wrong because the method of contraception that the patient believes will provide protection from sexually transmitted diseases may not be accurate or effective.
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