Every pregnant woman preparing for labor and delivery have a birth plan. What is the Primary objective of a birth plan? It describes _________.

Correct Answer: B

Rationale: The primary objective of a birth plan is to provide a pregnant woman the opportunity to outline her wishes and preferences regarding her labor, delivery, and postpartum care. It allows the mother-to-be to communicate her desires to the healthcare team in advance, ensuring that her preferences are considered and respected during the birthing process. A birth plan typically covers various aspects such as pain management options, who she wants present during labor, interventions she may want to avoid, plans for after birth care, and any other specific requests she may have. Ultimately, a birth plan aims to empower the woman to have a more personalized and satisfying birth experience by actively involving her in the decision-making process.

Correct Answer: C

Rationale: The theory of Nursing as Caring was developed by Dr. Jean Watson, a renowned nurse theorist and professor. Watson's Theory of Human Caring focuses on the importance of the nurse-patient relationship, emphasizing the significance of caring in promoting healing and promoting holistic well-being. This theory emphasizes the humanistic aspects of nursing care and highlights the nurse's role in fostering a caring environment that encompasses physical, emotional, social, and spiritual dimensions. Watson's theory emphasizes the importance of empathy, compassion, and authentic presence in nursing practice, making it a valuable framework for guiding nursing care and promoting healing outcomes.

Correct Answer: A

Rationale: Assisting the mother into a hands-and-knees position should be prioritized to facilitate fetal rotation and optimize labor progress in the case of persistent occiput posterior fetal position. This position helps in promoting fetal rotation to a more favorable position for delivery by allowing the baby's head to move into the anterior position. It can help alleviate back pain and may help reduce the duration of labor. This simple maneuver can sometimes correct the malposition without the need for interventions like instrumental delivery. It is a non-invasive and effective technique that can be easily implemented by healthcare providers to support the progression of labor.

Correct Answer: A

Rationale: Nurse Adalynn explains to the mothers that early indication for hypovolemia caused by postpartum hemorrhage is an increasing pulse and decreasing blood pressure. Hypovolemia is a condition where there is a decreased volume of circulating blood in the body, often characterized by fluid loss such as through bleeding. As blood volume decreases, the heart rate increases in an attempt to maintain adequate perfusion to organs and tissues. This results in an elevated pulse rate. Additionally, as the blood volume decreases, the blood pressure may drop due to the reduced amount of blood being pumped around the body. Therefore, monitoring for an increasing pulse and decreasing blood pressure is crucial in detecting hypovolemia early, allowing for prompt intervention to prevent further complications.

Correct Answer: D

Rationale: Sudden chest pain, dyspnea, and tachycardia in a postpartum client can be indicative of serious conditions such as pulmonary embolism or myocardial infarction. These conditions are emergencies that require immediate medical attention. Notifying the healthcare provider immediately is the priority to ensure prompt evaluation and intervention to address the potential life-threatening situation. While other nursing interventions such as elevating the head of the bed, providing supplemental oxygen therapy, and administering analgesics may be necessary, they should be done after notifying the healthcare provider to ensure appropriate management of the underlying cause.

Correct Answer: A

Rationale: Qualitative research data are typically in text form rather than numeric or statistical data. This means that the data collected through qualitative research methods are descriptive and usually presented in the form of words, phrases, or narratives. Qualitative data often involve subjective interpretations, opinions, and in-depth insights, making text a more suitable format for capturing these nuances compared to numerical or quantitative data. The focus in qualitative research is on understanding experiences, meanings, and perspectives, which are best conveyed through textual data.

Correct Answer: B

Rationale: Spondylosis is a condition characterized by degenerative changes in the intervertebral discs, leading to narrowing of the disc space and the formation of osteophytes (bone spurs). This degenerative process commonly occurs with aging and can cause symptoms such as neck or back pain, stiffness, and reduced range of motion. Spondylosis is a common finding on imaging studies like X-rays and MRI scans in individuals over the age of 50 and is a natural part of the aging process of the spine.

Correct Answer: B

Rationale: Consuming alcohol while on benzodiazepine therapy can increase the central nervous system depressant effects of benzodiazepines, leading to excessive sedation, respiratory depression, and even overdose. It is important for patients to avoid alcohol to prevent these potential dangerous interactions and to ensure the safe and effective use of their medication.

Correct Answer: C

Rationale: Cleaning the inner cannula daily helps prevent the accumulation of secretions and debris, which can lead to blockages and infections. It is an essential aspect of tracheostomy care to maintain the patency of the airway and prevent complications. Caregivers should be taught how to safely remove, clean, and reinsert the inner cannula as part of routine tracheostomy care.