The nurse is caring for a person AFAB who is 15 years old. Why would a gynecologic provider see a person at this age?

Correct Answer: D

Rationale: The correct answer is D because at 15 years old, a person AFAB may have questions or concerns about their menstrual cycle and hormonal changes. This age is appropriate for a gynecologic provider visit to address these issues and provide guidance on reproductive health. Choice A is incorrect because partner desires do not dictate gynecologic care. Choice B is incorrect as Pap smears are not typically recommended for individuals under 21. Choice C is incorrect as there is no strict age requirement for the first gynecologic visit.

Correct Answer: C

Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed. Explanation of why other choices are incorrect: A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements. B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support. D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is

Correct Answer: B

Rationale: The correct answer is B: a pregnant person who needs neurosurgery. In a Level 4 hospital, which is a facility capable of providing the highest level of care, the nurse can expect to see patients with complex and critical medical conditions like a pregnant person requiring neurosurgery. This level of hospital is equipped with advanced medical technology and specialists to handle such cases. A: a first-time pregnant person with good fetal movement - This choice is incorrect as it does not specify any complex medical condition that would require the services of a Level 4 hospital. C: a postpartum person with asthma - While asthma can be a serious condition, it does not necessarily require the highest level of care provided by a Level 4 hospital. D: a pregnant person who plans to birth in a birth center - This choice is incorrect as it suggests a low-risk pregnancy that can be managed in a less intensive care setting than a Level 4 hospital.

Correct Answer: D

Rationale: The correct answer is D because developing an educational pamphlet discussing signs of preeclampsia can help raise awareness and educate pregnant individuals about a life-threatening condition contributing to maternal mortality. This intervention can empower individuals to recognize warning signs early, seek timely medical care, and potentially prevent adverse outcomes. Conducting weekly prenatal appointments in their home (Choice A) may not address the underlying causes of maternal mortality and may not be feasible for all pregnant individuals. Drawing blood on all pregnant persons to look for anemia (Choice B) may not be the most effective strategy to address maternal mortality as anemia is just one of many contributing factors. Assessing the health of a baby using an ultrasound (Choice C) does not directly address the issue of maternal mortality and focuses on fetal, rather than maternal, well-being.

Correct Answer: A

Rationale: The correct answer is A because community-based nursing involves providing care directly to individuals and families within the community, often in non-traditional settings like mobile units or homes. This differs from community health nursing, which focuses on promoting and protecting the health of populations. Choice B is incorrect because community-based nurses do more than just provide education. Choice C is incorrect as cardiac assessments are a specific task that may not always be performed by community health nurses. Choice D is incorrect as community health nurses also provide a range of services beyond hands-on care.