A nurse is entering information on the patient’s electronic health record (EHR) and is called to assist in an emergency situation with regard to another patient in the labor and birth suite. The nurse rushes to the scene to assist; however, she leaves the chart open on the computer screen. The emergent patient situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager’s concerns?

Correct Answer: B

Rationale: The correct answer is B. The nurse should have logged out of the EHR prior to attending to the emergency. By leaving the EHR open and unattended, the nurse exposed patient information to potential unauthorized access, violating patient confidentiality. Logging out would have prevented this breach. Choice A is incorrect because the priority in an emergency is to address the immediate patient needs. Choice C is irrelevant to the breach of confidentiality. Choice D, changing the password after the incident, does not address the initial breach and is not a sufficient response to the nurse manager's concerns about maintaining confidentiality.

Correct Answer: C

Rationale: The correct answer is C because it is important for the nurse to clarify that childbirth can indeed bring about changes in family dynamics, as adding a new member can impact relationships and roles. This is a key principle of family-centered care. Choice A emphasizes the importance of family support, which aligns with the concept. Choice B highlights the commonality of uncomplicated childbirth, which is also relevant. Choice D emphasizes the patient's autonomy in decision-making, which is another important aspect of family-centered care.

Correct Answer: D

Rationale: The correct answer is D. A multipara with 6 pregnancies and 2 children younger than 3 years may require more help and understanding when integrating the newborn into the family due to potential challenges of caring for multiple young children simultaneously. This situation can lead to increased stress, fatigue, and difficulty in managing the needs of all children effectively. In contrast, choices A, B, and C have factors that may provide more support and resources for the new mother, such as being from an upper-income family (A), coming from a large family (B), or having a supportive husband and mother (C), which can help in the integration process.

Correct Answer: B

Rationale: The correct answer is B because giving the report to the oncoming nurse in a private area ensures patient information is shared securely, maintaining patient confidentiality as required by HIPAA. Posting patient updates on social media (A) violates patient privacy. Sharing patient information with a friend (C) breaches confidentiality. Leaving computer screens unattended with patient data visible (D) risks unauthorized access. B is the only choice that aligns with HIPAA regulations by prioritizing patient privacy and security.

Correct Answer: C

Rationale: The correct answer is C: Traditional hospital birth. In a traditional hospital setting, there may be limited parent-infant interaction due to medical interventions, procedures, and protocols that can restrict immediate bonding opportunities. The presence of medical staff, equipment, and potential complications may create a more clinical environment, impacting the initial bonding experience. Summary: A: Birth center - Typically encourages parent-infant interaction and supports a more natural birth experience. B: Home birth - Allows for maximum parent-infant interaction in a familiar and comfortable environment. D: Labor, birth, and recovery room - Provides a dedicated space for labor and recovery, but still allows for parent-infant interaction after birth.