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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Facilitate maternal-newborn interaction. Facilitating maternal-newborn interaction is an important aspect of breastfeeding, but it is not the primary purpose of encouraging breastfeeding immediately after an emergency birth. The primary purpose is to initiate the lactation cycle, allowing the newborn to receive essential colostrum, the first milk rich in antibodies and nutrients, which aids in the development of the newborn's immune system.
Choice B rationale:
Stimulate the uterus to contract. While breastfeeding can stimulate uterine contractions due to oxytocin release, the primary purpose of encouraging breastfeeding in this context is not to contract the uterus but to initiate the lactation cycle for the newborn's benefit.
Choice C rationale:
Prevent neonatal hypoglycemia. Breastfeeding can help prevent neonatal hypoglycemia by providing the newborn with a constant supply of nutrients, but the primary purpose immediately after an emergency birth is to initiate the lactation cycle and provide colostrum, not solely to prevent hypoglycemia.
Choice D rationale:
Initiate the lactation cycle. Initiating the lactation cycle is the correct answer because breastfeeding immediately after birth helps the woman's body start producing milk and provides the newborn with colostrum, essential for their health and development. Colostrum is rich in antibodies and nutrients, offering vital protection and nourishment to the newborn.
Correct Answer is C
Explanation
Choice A rationale:
Ribbon-like stools are not characteristic of intussusception. Intussusception is a medical emergency where one portion of the intestine invaginates or telescopes into another. This condition can lead to intestinal obstruction and compromised blood flow, causing severe abdominal pain, vomiting, and bloody stools. The characteristic stool appearance associated with intussusception is "currant jelly" stools. These stools contain mucus, blood, and sloughed mucosal tissue, giving them a characteristic dark, sticky, and jelly-like appearance. This occurs due to the mixture of blood and mucus within the intestines.
Choice B rationale:
Hard stools positive for guaiac indicate the presence of occult blood in the stool, but this finding is not specific to intussusception. Occult blood in the stool can be a sign of gastrointestinal bleeding from various causes, such as ulcers, gastritis, or colorectal polyps. It is not a characteristic feature of intussusception.
Choice D rationale:
Loose, foul-smelling stools are nonspecific and can occur due to various gastrointestinal disorders, dietary issues, or infections. This description does not specifically indicate intussusception.
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