A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse provide for this couple? (Select all that apply.)

Correct Answer: A

Rationale: In the context of pharmacology, understanding the ethical issues surrounding maternal newborn nursing is crucial for providing comprehensive care. When addressing a couple's inquiry about surrogate parenting, it is essential to provide accurate information to guide them effectively. Option A, "Donated embryos can be implanted into the surrogate mother," is correct because it reflects a common method in surrogate parenting where fertilized embryos are transferred to the surrogate for gestation. Option B, "The surrogate mother needs to have carried one previous birth to term," is incorrect as there is no universal requirement for the number of previous births a surrogate must have had. This statement can lead to misconceptions. Option C, "You both need to be infertile to be eligible for surrogate parenting," is incorrect as infertility in the couple is not a prerequisite for pursuing surrogacy. This answer may misinform the couple about eligibility criteria. Option D, "Conception can take place outside the surrogate mother’s body and then implanted," is incorrect as it describes a different assisted reproductive technology process, not specifically surrogate parenting. Educationally, understanding the nuances of surrogate parenting is vital for nurses to provide accurate information and support to couples considering this option. Correcting misconceptions and providing clear, evidence-based explanations can empower couples to make informed decisions regarding their reproductive choices.

Correct Answer: C

Rationale: The most therapeutic response by the nurse when the patient expresses fear about having a cesarean birth is to offer an open-ended question that explores the patient's concerns further. By asking, "What concerns you most about a cesarean birth?" the nurse acknowledges the patient's fears, encourages communication, and allows the patient to express her feelings and fears in more detail. This response shows empathy and enables the nurse to better address the specific worries and anxieties the patient may have about the procedure. The other options do not effectively address the patient's fears and do not promote therapeutic communication.

Correct Answer: D

Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.

Correct Answer: C

Rationale: The statement that nursing programs are turning away qualified applicants is true regarding the shortage of nurses in the United States. Despite the growing demand for healthcare services and the critical need for more nurses, nursing schools across the country face challenges in accepting all qualified applicants due to a shortage of nursing faculty, limited clinical space, and budget constraints. This bottleneck in nursing education and training contributes to the shortage of nurses in the workforce. As a result, many potential nursing students who are qualified and interested in pursuing a career in nursing are being turned away from programs, exacerbating the shortage.

Correct Answer: C

Rationale: Providing information to the patient about obtaining a doula during the labor process is the most effective option in this scenario. A doula is a trained professional who provides physical, emotional, and informational support to the mother before, during, and after childbirth. They can help the mother feel supported and empowered during labor, especially if family members are unavailable or unprepared to offer the necessary support. Doulas can also help in communication with the medical staff, advocate for the mother's preferences, and provide comfort measures. Therefore, recommending the option of obtaining a doula would help address the patient's concerns about support during labor.