A nurse is providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse plan to make?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) "You should expect the test to take about 30 minutes." This statement is important to prepare the client for the duration of the nonstress test, ensuring they know what to expect and can plan their time accordingly. Option A is incorrect because nonstress tests do not typically require medication through an IV. Option C is also incorrect as fasting is not necessary for a nonstress test, so the client should not be advised to avoid eating or drinking before the test. Option D is incorrect because although nonstress tests are important in assessing fetal well-being, they do not specifically determine the maturity of the baby's lungs. From an educational perspective, it is crucial for nurses to provide accurate and relevant information to pregnant clients to alleviate anxiety, promote understanding, and ensure optimal prenatal care. By explaining the purpose and duration of the nonstress test, the nurse can empower the client to actively participate in their maternity care and make informed decisions regarding their health and the health of their baby.

Correct Answer: D

Rationale: The correct answer is D) Wash the penis once per day with soap and water. This instruction is important because it promotes basic hygiene for the uncircumcised penis without causing harm. Washing the penis with soap and water helps to prevent infections and maintain cleanliness. Option A is incorrect because retracting the foreskin forcefully can cause pain and injury to the delicate tissues. It is crucial to emphasize that the foreskin should never be forcibly retracted in infants. Option B is incorrect as using a cotton swab to clean under the foreskin can also cause injury and may leave behind fibers, increasing the risk of infection. Option C is incorrect because applying petroleum jelly to the foreskin can create a breeding ground for bacteria, leading to infections. It is not recommended for routine care. In an educational context, it is essential for nurses to provide evidence-based and safe instructions to parents regarding newborn care. Proper hygiene practices should be taught to ensure the well-being of the infant and prevent potential complications. Nurses play a key role in educating parents on best practices for newborn care, including how to care for an uncircumcised penis.

Correct Answer: D

Rationale: The correct answer is D) Explain to the woman the importance of keeping her prenatal care appointments. This is the most important plan for the nurse to implement based on the statistics for infant mortality. Prenatal care plays a crucial role in monitoring the health of both the mother and the developing fetus, which can significantly impact birth outcomes. Option A, performing a nutrition assessment, is important for overall health but may not directly address the issue of infant mortality as effectively as ensuring regular prenatal care visits. Option B, referring the woman to a social worker, is important for addressing social determinants of health but does not directly address the specific issue of prenatal care. Option C, advising the woman to see an obstetrician instead of a midwife, is not necessarily relevant to the question of the importance of prenatal care visits. In an educational context, this question highlights the critical role of prenatal care in reducing infant mortality rates, especially among vulnerable populations. It emphasizes the importance of healthcare providers, like nurses, in educating and supporting pregnant women to prioritize and attend prenatal care appointments for better maternal and infant health outcomes.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Standard of care was not met. The woman could potentially have a legitimate legal case for negligence based on this ground because healthcare providers are expected to adhere to a certain standard of care when treating patients. In this case, the prolonged labor, the large size of the baby, and the subsequent death from sepsis may indicate that the standard of care was not met during the woman's labor and delivery. Option A) Inexperienced maternity nurse was assigned to care for the client may not be a strong legal ground for negligence unless the nurse's lack of experience directly led to a breach in the standard of care. Option B) Client was past her due date by 3 days is not directly related to negligence unless the healthcare provider failed to properly monitor the pregnancy post-term and respond accordingly. Option D) Client refused electronic fetal monitoring may not hold as a strong legal ground for negligence if the healthcare provider adequately informed the client of the risks and the client made an informed decision. Educationally, this question highlights the importance of understanding the legal implications of failing to meet the standard of care in maternity care. It underscores the responsibility of healthcare providers to provide appropriate care to ensure the well-being of both the mother and the baby during labor and delivery. Understanding these ethical and legal considerations is crucial for healthcare professionals working in maternity care.

Correct Answer: A

Rationale: The correct answer is A) Higher rate of obesity among pregnant women. This is because obesity is a significant risk factor for complications during pregnancy, such as gestational diabetes, hypertension, and cesarean section deliveries. These complications require more intensive monitoring, specialized care, and interventions, all of which contribute to increased healthcare costs. Option B) Limited access to technology is not the most relevant factor in explaining higher healthcare spending in the United States compared to other developed countries in the context of maternity care. While access to technology can impact healthcare costs, it is not the primary reason for the disparity. Option C) Increased use of health care services along with lower prices is not a likely explanation for higher healthcare spending. Increased utilization of services alone does not account for the overall cost difference, especially when prices are lower. Option D) Homogeneity of the population is not directly linked to higher healthcare spending. The diversity in a population does impact healthcare costs, but it is not the main reason for the difference in spending between the United States and other developed countries. In an educational context, understanding the factors influencing healthcare spending is crucial for healthcare professionals, especially those working in maternity care. By recognizing the impact of obesity on pregnancy outcomes and healthcare costs, nurses can provide targeted education and interventions to pregnant women at risk, ultimately improving both maternal and infant health outcomes while managing costs effectively.