The nurse is caring for a pregnant person who is living in an underserved area of town with a history of childhood abuse, opioid use disorder, and asthma. What can the nurse do to decrease the risk of maternal mortality?

Correct Answer: A

Rationale: Correct Answer: A Rationale: 1. Connecting the patient to a counselor addresses the underlying issues of childhood abuse and opioid use disorder, which can contribute to maternal mortality. 2. Counseling can provide support, coping strategies, and mental health assistance crucial for at-risk individuals. 3. Addressing mental health concerns can improve overall well-being and increase the likelihood of seeking appropriate prenatal care. Summary: B: While education on risk factors is important, it may not directly address the patient's specific mental health and trauma history. C: Giving albuterol for asthma is essential but does not directly address the underlying factors contributing to maternal mortality. D: Moving out of the poor area is not a feasible or realistic solution and does not address the patient's mental health and substance abuse issues.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates inclusivity and respect for the individual's identity. The response affirms that all LGBTQIA+ persons are welcome and can receive care from an OB-GYN provider, promoting a safe and supportive environment. This answer prioritizes patient-centered care and emphasizes the provider's commitment to serving diverse populations. Choice B is incorrect as it assumes the individual's role in a relationship determines their eligibility for care, which is discriminatory. Choice C is also incorrect as it suggests the individual needs a specialized provider solely based on their sexual orientation, which is not necessary for routine gynecologic care. Choice D is incorrect as it limits the scope of care based on the individual's sexual orientation, which goes against ethical principles of providing comprehensive healthcare to all individuals.

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 because activist groups have played a significant role in fighting sexism in gynecologic care over the past century. These groups have advocated for better healthcare access, reproductive rights, and gender equality. This is supported by historical evidence of movements such as the women's rights movement and advocacy for reproductive justice. Choice A is incorrect as reproductive health care has not always been under the control of persons assigned female at birth (AFAB) since the 1900s, as there have been significant disparities and challenges faced by individuals in accessing quality care. Choice B is incorrect as the healthcare system has not always been fair in shared decision-making with persons AFAB, with historical examples of paternalistic practices. Choice D is incorrect as excluding persons AFAB from research trials would be unethical and discriminatory, which is not reflective of the overall history of gynecologic care.

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