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 A
Explanation
Choice A rationale: A respiratory rate of 10 bpm indicates respiratory depression, a sign of magnesium toxicity. Magnesium sulfate is a central nervous system depressant, and rates below 12 bpm require immediate intervention and possible administration of calcium gluconate.
Choice B rationale: A blood pressure of 148/94 is a manifestation of the underlying pregnancy-induced hypertension rather than a complication of the medication. Magnesium sulfate is primarily used for seizure prophylaxis rather than as a primary antihypertensive agent.
Choice C rationale: Deep tendon reflexes of +2 are considered normal and active. A complication of magnesium sulfate therapy would be the loss or diminution of these reflexes (0 or +1), which typically precedes more severe respiratory depression.
Choice D rationale: A urine output of 70 ml/hour is within the normal range and indicates adequate renal perfusion. Monitoring output is crucial because magnesium is excreted by the kidneys, but 70 ml/hour does not indicate a complication.
Correct Answer is B
Explanation
Choice A rationale:
Performing 100 Kegel exercises each day is not necessary and might lead to muscle fatigue. The number of exercises can vary from person to person. Quality is more important than quantity when performing Kegel exercises.
Choice B rationale:
This statement indicates a correct understanding of Kegel exercises. Holding the contraction for 10 seconds and then resting for 10 seconds between exercises is a common and effective technique. Kegel exercises help strengthen the pelvic floor muscles, which can be beneficial during pregnancy and after childbirth.
Choice C rationale:
There is no requirement to perform Kegel exercises only in the sitting position. These exercises can be done in various positions, such as sitting, standing, or lying down, depending on the individual's comfort.
Choice D rationale:
Performing Kegel exercises throughout pregnancy, starting early and continuing postpartum, can provide optimal benefits. There's no need to wait until the last trimester to start these exercises. Regular practice can help improve pelvic muscle tone and prevent issues such as urinary incontinence.
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