ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
Correct Answer: A
Rationale: A nurse caring for a patient who presents with a thin vaginal discharge with a strong fishy odor should prepare for performing a whiff test. The whiff test, also known as the amine or sniff test, is used to aid in the diagnosis of bacterial vaginosis (BV). BV is a common vaginal infection characterized by an overgrowth of harmful bacteria in the vagina and can cause symptoms like thin, grayish-white discharge with a strong fishy odor.
Question 2 of 5
What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.
Question 3 of 5
What type of mastectomy removes the entire breast but leaves the chest wall intact?
Correct Answer: A
Rationale: A total simple mastectomy is a type of mastectomy that removes the entire breast, including the breast tissue, nipple, and areola, but it leaves the chest wall muscles intact. In this procedure, the lymph nodes under the arm (axillary lymph nodes) are not typically removed. The total simple mastectomy is usually performed when the breast cancer is small and localized, and there is no evidence of spread to the surrounding lymph nodes or chest wall. This surgery is considered less extensive than other types of mastectomies, such as modified radical mastectomy, skin-sparing mastectomy, or nipple-sparing mastectomy, which involve different levels of tissue removal.
Question 4 of 5
During which phase of the cycle of violence does the batterer become contrite and remorseful?
Correct Answer: B
Rationale: During the cycle of violence, the batterer displays contrition and remorse during the Honeymoon phase. This phase follows the Battering phase, characterized by the abusive behavior and violence, and precedes the Tension-building phase where stress and tension begin to escalate. The Honeymoon phase is marked by the abuser showing remorse, apologizing, and trying to make amends for their violent behavior. This phase often involves the abuser being extra charming, affectionate, and demonstrating efforts to reconcile with the victim. It is important to note that the Honeymoon phase is often temporary and is part of the cycle that may repeat unless intervention and support are sought.
Question 5 of 5
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, “Why is elective abortion considered such an ethical issue?” Which response by the nurse is most appropriate? N R I G B.C M
Correct Answer: D
Rationale: The most appropriate response by the nurse is that there is a conflict between the rights of the woman and the rights of the fetus when discussing elective abortion as an ethical issue. This response highlights the ethical dilemma involved in abortion, where one must consider the rights and autonomy of the pregnant woman as well as the potential rights of the fetus. Ethical debates often revolve around balancing these conflicting rights and interests, making elective abortion a complex and sensitive issue. It acknowledges the ethical implications of abortion without making definitive statements or legal references like the other options.