A client at 24 weeks of gestation says she has a glass of wine with dinner every evening. Why should the nurse counsel her to eliminate all alcohol intake?

Correct Answer: C

Rationale: The correct answer is C) Alcohol places the fetus at risk for altered brain growth. Alcohol consumption during pregnancy can have serious consequences on the developing fetus. The developing brain is particularly vulnerable to the effects of alcohol, which can lead to a range of cognitive and behavioral issues known as Fetal Alcohol Spectrum Disorders (FASD). Alcohol exposure can interfere with the normal development of the brain, leading to long-term cognitive impairments and behavioral problems in the child. Option A) Daily consumption of alcohol indicates a risk for alcoholism, is incorrect because occasional alcohol consumption during pregnancy can still pose risks to the fetus, regardless of the presence of alcoholism. Option B) She is at risk for abusing other substances as well, is incorrect as it does not directly address the specific risk of alcohol on fetal brain development. Option D) Alcohol places the fetus at risk for multiple organ anomalies, is incorrect as the primary concern with alcohol consumption during pregnancy is its impact on brain development rather than organ anomalies. In an educational context, it is crucial for nurses to understand the detrimental effects of alcohol consumption during pregnancy and to counsel pregnant women on the importance of complete abstinence from alcohol to ensure the health and well-being of the developing fetus. Nurses play a key role in providing evidence-based information and support to empower pregnant women to make informed decisions that promote the best outcomes for both mother and baby.

Correct Answer: B

Rationale: In the context of reporting intimate partner violence (IPV) in the United States, option B, which states that Caucasian women report less IPV than non-Caucasians, is the most accurate statement. This is supported by research and statistics indicating that Caucasian women tend to report lower rates of IPV compared to women from other racial or ethnic groups. Option A is incorrect because research shows that Asian women actually report lower rates of IPV than some other minority groups. Option C is inaccurate as Native-American women tend to report higher rates of IPV compared to other groups. Option D is also incorrect as studies suggest that African-American women are more likely to report IPV compared to Caucasian women. From an educational perspective, understanding the patterns of IPV reporting among different racial and ethnic groups is crucial for healthcare professionals, especially those working in maternal newborn nursing. It highlights the importance of culturally sensitive care and the need for healthcare providers to be aware of disparities in IPV reporting to provide appropriate support and interventions for affected individuals.

Correct Answer: C

Rationale: The correct answer is C) Financial coercion is considered part of IPV (Intimate Partner Violence). Nurses who provide care to victims of IPV should be keenly aware of this because financial coercion is a common tactic used by abusers to control and manipulate their partners. Understanding this aspect of IPV is crucial for nurses to effectively support and advocate for their patients. Option A is incorrect because relationship violence is often a pattern of behavior rather than a single episode that can be easily resolved. Nurses need to recognize the complexity and persistence of IPV to provide appropriate care. Option B is incorrect because violence often escalates during pregnancy due to increased stress and vulnerability. Nurses must be aware of this heightened risk to protect both the mother and the unborn child. Option D is incorrect as it perpetuates harmful stereotypes about victims of IPV. Battered women come from diverse backgrounds and educational levels, and it is essential for nurses to approach all patients without assumptions based on social status or education. In an educational context, understanding the various forms of IPV, including financial coercion, equips nurses with the knowledge and skills needed to provide holistic care to victims. By recognizing the signs and impacts of financial abuse, nurses can intervene effectively, connect patients with resources, and contribute to breaking the cycle of violence.

Correct Answer: B

Rationale: The correct answer to the question "Which statement regarding human trafficking is correct?" is B) Victims often experience the Stockholm syndrome. This statement is correct because Stockholm syndrome is a psychological phenomenon where victims develop positive feelings towards their captors as a survival strategy. In the context of human trafficking, victims may form a bond with their traffickers as a way to cope with their traumatic situation. Option A is incorrect because human trafficking is a global issue, not limited to the United States. It is prevalent in many countries around the world, making it a transnational problem. Option C is incorrect as the majority of human trafficking victims are women and girls, although boys and men can also be victims. However, the statement that the vast majority are young boys and girls is inaccurate. Option D is incorrect because human trafficking encompasses various forms of exploitation, including forced labor, organ trafficking, and forced marriage, in addition to commercial sex work. It is crucial to recognize that human trafficking is not solely about sexual exploitation but also includes other forms of coercion and abuse. In an educational context, understanding the complexities of human trafficking is essential for healthcare professionals, especially those in maternal newborn nursing. Nurses play a vital role in identifying and supporting victims of human trafficking, as they may encounter trafficked individuals seeking healthcare services. By being knowledgeable about the signs of human trafficking and the psychosocial dynamics involved, nurses can provide appropriate care and support to these vulnerable populations.

Correct Answer: D

Rationale: The correct answer is D) It can cause the client to experience some hot flashes and vaginal dryness. Rationale: Nafarelin is a gonadotropin-releasing hormone (GnRH) agonist that suppresses ovarian function by inhibiting the release of gonadotropins. This results in decreased estrogen levels, leading to side effects such as hot flashes and vaginal dryness. It is crucial for the nurse to educate the client about these potential side effects to ensure they are informed and can manage them effectively. Option A) Nafarelin stimulates ovarian activity is incorrect because, as mentioned earlier, nafarelin actually suppresses ovarian function. Option B) It should be administered by intramuscular (IM) injection is incorrect because nafarelin is not typically administered via IM injection. Option C) Nafarelin should be administered by a subcutaneous implant is incorrect because nafarelin is commonly administered as a nasal spray, not through a subcutaneous implant. Educational Context: Understanding the pharmacological actions and side effects of medications used in maternal newborn nursing is crucial for providing safe and effective care to clients. Nurses play a vital role in educating clients about their medications to promote adherence and optimal outcomes. In this case, educating the client about the side effects of nafarelin is essential for their well-being and treatment compliance.