A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?

Correct Answer: B

Rationale: In this case, the correct answer is B) obesity. Obesity is a significant risk factor for Intrauterine Fetal Demise (IUFD) due to various complications it can cause during pregnancy, such as gestational diabetes, hypertension, and placental dysfunction. A) Age is not the primary risk factor for IUFD in this scenario as the patient's age alone does not inherently increase the risk of IUFD. C) Hypotension, while a concern during pregnancy, is not directly linked to IUFD in this case. Hypertension would be a more likely concern for IUFD. D) Ethnicity alone is not a direct risk factor for IUFD. While certain ethnicities may have specific health considerations, in this case, the patient's ethnicity does not directly contribute to her risk for IUFD. Educationally, this question highlights the importance of understanding how various factors such as obesity can impact pregnancy outcomes. It reinforces the need for healthcare providers to consider all aspects of a patient's medical history when assessing risk factors for adverse pregnancy outcomes.

Correct Answer: A

Rationale: In this case, the correct answer is A) chronic hypertension. The reason chronic hypertension is a risk factor for intrahepatic progesterone device failure (IPFD) is due to the potential impact of high blood pressure on the proper functioning of the device. Hypertension can affect the blood flow within the body, potentially impacting the distribution and effectiveness of the contraceptive device. Hypothyroidism (option B) is not directly linked to IPFD. While thyroid disorders can affect reproductive health in general, they are not a known risk factor specifically for intrahepatic contraceptive failure. Depression (option C) may impact a patient's overall health and well-being, but it is not a direct risk factor for IPFD. Mental health conditions like depression may influence a person's adherence to contraceptive methods but do not affect the physical functioning of the device itself. Asthma (option D) also is not a direct risk factor for intrahepatic contraceptive failure. Respiratory conditions like asthma do not impact the efficacy of long-acting reversible contraceptive methods like intrahepatic devices. In an educational context, understanding the specific risk factors for contraceptive method failure is crucial for healthcare providers to provide accurate and effective care to their patients. By recognizing the impact of certain health conditions like chronic hypertension on contraceptive efficacy, nurses and other healthcare professionals can tailor their patient assessments and counseling to ensure the most appropriate contraceptive choices for each individual.

Correct Answer: C

Rationale: The correct answer is C) Respiratory distress is a cause of death related to prematurity. This option is correct because respiratory distress syndrome (RDS) is a common and serious complication of preterm birth. Preterm infants often have underdeveloped lungs, leading to breathing difficulties and requiring respiratory support to survive. Understanding this complication is crucial for nurses caring for preterm infants as prompt intervention is necessary to prevent respiratory failure and death. Option A) is incorrect because intraventricular hemorrhage is a serious complication of prematurity, not a non-serious one. It can lead to long-term neurological issues in preterm infants. Option B) is incorrect because necrotizing enterocolitis is a condition of prematurity that affects the intestines, not causing constipation but rather necrosis and potential perforation of the intestinal wall. Option D) is incorrect because surfactant is a substance that helps keep the lungs open by reducing surface tension, aiding in the exchange of oxygen and carbon dioxide. It does not cause premature lungs to be overly pliable but rather helps prevent collapse of the alveoli. In the context of pharmacology, understanding the complications of preterm birth is essential for nurses administering medications to support preterm infants' respiratory function, such as surfactant therapy. This knowledge enables nurses to anticipate and manage potential complications effectively, ensuring the best outcomes for these vulnerable patients.

Correct Answer: C

Rationale: In the context of supporting siblings through grief after a neonatal loss, the correct answer is option C) Give them permission to cry and grieve. This choice is appropriate because it encourages open expression of emotions, validates their feelings, and fosters a healthy grieving process. By allowing siblings to express their grief, parents can help them process their emotions and cope with the loss in a constructive manner. Option A) Try not to discuss your grief with siblings, is incorrect as it promotes suppression of emotions, which can lead to unresolved grief and emotional distress. Open communication is key in supporting siblings through grief. Option B) Wait until children are older to be honest about their sibling's death, is incorrect because honesty and age-appropriate communication are crucial in helping siblings understand and come to terms with the loss. Delaying the truth may cause confusion and hinder the grieving process. Option D) Avoid displaying pictures of the newborn until the sibling is older, is also incorrect as it may create a sense of secrecy or taboo around the deceased sibling, preventing healthy grieving and acceptance of the reality of the loss. In an educational context, it is essential for nurses and healthcare professionals to understand the importance of supporting siblings through grief after a neonatal loss. By providing appropriate guidance and encouraging open communication and emotional expression, healthcare providers can help families navigate this challenging time with compassion and understanding.

Correct Answer: B

Rationale: The correct answer is B) 15%. In the context of long-acting reversible contraceptive methods (LARCs) such as intrauterine devices (IUDs) and implants, it is crucial to understand the prevalence of contraceptive use among women of reproductive age. This statistic highlights a gap in contraceptive use among sexually active individuals, emphasizing the importance of education and access to effective birth control methods. Option A) 10% is incorrect because it underestimates the percentage of women not using any form of contraception, as evidenced by the survey data provided. Option C) 20% is incorrect as it overestimates the percentage of women not using contraception, based on the survey findings. Option D) 25% is also incorrect as it overestimates the proportion of women not using any form of contraception within the specified time frame. Educationally, understanding the prevalence of contraceptive use is essential for healthcare providers and educators to tailor their efforts towards promoting access to and education about effective contraceptive methods, especially LARCs, to reduce unintended pregnancies and empower individuals to make informed decisions about their reproductive health.