During auscultation of fetal heart tones (FHTs), the nurse determines that the heart rate is 136 beats per minute. The nurse's next action should be to:

Correct Answer: A

Rationale: The normal fetal heart rate falls between 110 and 160 beats per minute, so the nurse should document the results as within the normal range. There is no indication of fetal distress based on the heart rate provided. Verifying with the maternal pulse or having the patient change positions is unnecessary in this scenario.

Correct Answer: B

Rationale: In early pregnancy, complications can arise that require careful planning and consideration when providing care to the client. In this scenario, the correct answer is B) conflict with family over gender expression. This is the most appropriate problem for the nurse to address because conflicts with family over gender expression can significantly impact the emotional well-being and support system of the pregnant individual. It is crucial for the nurse to address and resolve these conflicts to ensure the overall health and safety of both the client and the developing fetus. Option A) conflict with gender identity is not directly related to the immediate care needs of the client in early pregnancy. While gender identity is an important aspect of holistic care, in this specific context, addressing conflicts over gender expression within the family is more urgent and relevant to the client's immediate well-being. Educationally, this question highlights the importance of assessing and addressing psychosocial factors that can impact a pregnant individual's health during early pregnancy. It emphasizes the role of the nurse in providing holistic care that goes beyond just physical health concerns and includes emotional and social support. By understanding and addressing family dynamics and conflicts, nurses can better support their clients through this crucial period in their lives.

Correct Answer: A

Rationale: In this scenario, option A is the correct answer because it demonstrates a trauma-informed and patient-centered approach to addressing intimate partner violence (IPV). By informing the client that it is a policy to screen for safety, the nurse creates a safe space for disclosure and offers help in a non-judgmental manner. This approach respects the client's autonomy while also prioritizing their well-being. Option B is incorrect because it generalizes that abuse is common in pregnant individuals, which can perpetuate stigma and may not apply to every individual. Option C is incorrect as it assumes that individuals hide abusive relationships, which can be a sensitive and potentially triggering assumption to make. Option D is incorrect as it is a judgmental statement that does not facilitate open communication or trust between the nurse and the client. In an educational context, it is essential for healthcare providers to understand the dynamics of IPV, how to approach screening for it sensitively, and the importance of providing support and resources to those experiencing abuse. Nurses play a crucial role in identifying and supporting individuals experiencing IPV, and using a patient-centered approach is key to creating a safe environment for disclosure and intervention.

Correct Answer: A

Rationale: The correct answer is A) A vaccine has been approved to prevent the human papillomavirus (HPV). This response is correct because there is indeed a vaccine available to prevent HPV, which is a sexually transmitted infection (STI) known to cause cervical cancer and other complications. Educating individuals, especially those in early pregnancy, about the importance of HPV vaccination can help prevent future health issues for themselves and their offspring. Option B) There are no vaccines available for STIs is incorrect. There are vaccines available for certain STIs, such as HPV, hepatitis A, and hepatitis B. Option C) Vaccines are available for hepatitis A, hepatitis B, and HPV is partially correct, but it fails to mention other STIs like HIV and HSV for which there are no vaccines currently available. Option D) Vaccines are under development for HIV and HSV is incorrect as there are currently no vaccines approved for these STIs. It is important for healthcare professionals to stay updated on the current status of STI vaccines to provide accurate information to individuals, including pregnant women, who may have questions or concerns about STI prevention. Understanding the availability of vaccines for different STIs is crucial in promoting overall maternal and fetal health during early pregnancy.

Correct Answer: A

Rationale: Rationale: The correct answer is A) The test is conducted because of abnormal results in a Papanicolaou test. This is because a colposcopy is a procedure done to further evaluate abnormal cervical cells identified during a Pap smear. It allows for a closer examination of the cervix to determine the extent of abnormality and whether any treatment is needed. Option B) Colposcopy is painful and requires recovery time is incorrect because while some women may experience mild discomfort during the procedure, it is generally well-tolerated and does not require recovery time. Option C) Intercourse should be avoided for a week after the procedure is incorrect because there is typically no need to abstain from intercourse after a colposcopy unless otherwise instructed by the healthcare provider. Option D) Colposcopy is unnecessary unless symptoms are present is incorrect as colposcopy is a recommended follow-up for abnormal Pap smear results, regardless of the presence of symptoms. It is a crucial step in the early detection and management of cervical abnormalities, thus not to be deemed unnecessary. Educationally, understanding the purpose and process of a colposcopy is essential for women's health. By providing accurate information, healthcare professionals can empower clients to make informed decisions about their care and alleviate any unnecessary anxiety or misconceptions surrounding the procedure.