A nurse is reinforcing teaching about sexual activity during pregnancy for a client in a monogamous, same-sex relationship. Which of the following statements should the nurse make?
"Same-sex activity is less risky during pregnancy than male-female intercourse."
"There are some modifications that can increase the safety of sexual activity during your pregnancy."
"Most people find that pregnancy significantly decreases their desire for sexual activity."
"Since you are monogamous there are no risks related to sexual activity during your pregnancy."
The Correct Answer is B
A. "Same-sex activity is less risky during pregnancy than male-female intercourse." Sexual activity of any kind can pose potential risks, such as vaginal irritation, pressure on the abdomen, or infection transmission if proper hygiene is not maintained. While pregnancy risks associated with semen exposure do not apply in a same-sex relationship, safety considerations remain important.
B. "There are some modifications that can increase the safety of sexual activity during your pregnancy." Sexual activity is generally safe during pregnancy, but adjustments may be necessary to ensure comfort and reduce potential risks. As the pregnancy progresses, certain positions may need to be changed to avoid pressure on the abdomen. If complications such as placenta previa or a history of preterm labor are present, additional precautions may be recommended.
C. "Most people find that pregnancy significantly decreases their desire for sexual activity." Sexual desire during pregnancy varies among individuals. Some may experience a decrease due to hormonal changes, nausea, or fatigue, while others may have an increased desire for sexual activity.
D. "Since you are monogamous there are no risks related to sexual activity during your pregnancy." A monogamous relationship reduces the risk of sexually transmitted infections but does not eliminate other potential concerns. Vaginal irritation, complications related to certain pregnancy conditions, or discomfort due to physical changes can still occur, making it important to discuss any concerns with a healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Your health care surrogate will make decisions on your behalf if you are unable." A health care surrogate, also known as a durable power of attorney for health care, is a person designated to make medical decisions when the client is unable to do so. This ensures that the client’s wishes are respected in situations where they cannot communicate or make informed choices.
B. "Once you have completed a living will, it cannot be changed." A living will can be revised or revoked at any time as long as the client is mentally competent. Changes may be necessary due to evolving personal beliefs, medical advancements, or changes in health status.
C. "You should appoint a family member as your health care surrogate." While a family member can be chosen, it is not a requirement. The client has the right to appoint anyone they trust to make medical decisions, including a close friend or legal representative, as long as they meet the legal criteria in their state or country.
D. "You will need an attorney to appoint a health care surrogate." An attorney is not required to appoint a health care surrogate. Most states provide standardized forms that can be completed and signed by the client in the presence of witnesses or a notary, depending on local legal requirements.
Correct Answer is B
Explanation
A. Completely undress the toddler. Toddlers may feel vulnerable when fully undressed. It is best to remove clothing gradually, assessing one area at a time, to promote comfort and reduce anxiety.
B. Allow the toddler to handle the equipment. Letting the toddler touch and explore medical equipment, such as a stethoscope or otoscope, helps reduce fear and increases cooperation during the examination. This approach fosters a sense of control and familiarity.
C. Thoroughly explain each procedure to the toddler. Toddlers have limited understanding and attention spans. Simple, short explanations and distraction techniques are more effective in easing anxiety than detailed explanations.
D. Start the examination with routine immunizations. Painful procedures, such as vaccinations, should be saved for the end of the visit to prevent distress and resistance that could interfere with the rest of the examination.
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