The nurse is caring for a woman with a broken arm. Her partner brings in flowers and balloons and is overly affectionate. What phase of the cycle of violence would the nurse suspect?

Correct Answer: C

Rationale: In the context of maternal newborn nursing and understanding the dynamics of domestic violence, it is crucial for nurses to recognize the different phases of the cycle of violence. In this scenario, the nurse would suspect the honeymoon phase. The honeymoon phase is characterized by the abuser showing remorse, apologizing, and attempting to reconcile after a violent episode. In this case, the partner's overly affectionate behavior, bringing gifts like flowers and balloons, aligns with the typical behavior seen in the honeymoon phase. The tension-building phase (option A) precedes the acute battering incident (option B) and is marked by increasing tension, arguing, and potential threats. The acute battering incident is the actual violent episode. The loving phase (option D) is not a recognized phase in the cycle of violence and does not reflect the dynamics typically seen in abusive relationships. Educationally, understanding the cycle of violence is essential for nurses working in maternal newborn settings as they often encounter women experiencing intimate partner violence. Recognizing the signs and phases of abuse enables nurses to provide appropriate support, resources, and interventions to ensure the safety and well-being of both the mother and the newborn. By identifying the honeymoon phase, nurses can take necessary steps to address the situation and provide the woman with the help she needs.

Correct Answer: C

Rationale: In this scenario, option C, "I will check my blood sugar multiple times a day as prescribed," is the correct statement indicating effective teaching by the client with gestational diabetes. This response demonstrates understanding and adherence to the essential aspect of monitoring blood sugar levels regularly to manage gestational diabetes effectively. Option A, "I will monitor my blood sugar once a week," is incorrect as gestational diabetes requires more frequent monitoring, typically multiple times a day, to ensure tight control and prompt intervention if needed. Option B, "I will increase my physical activity if my blood sugar is high," while promoting a healthy lifestyle, does not address the immediate need for monitoring blood sugar levels. Option D, "I can reduce my insulin dose on days I eat less," is incorrect because altering insulin doses without healthcare provider guidance can be dangerous and lead to uncontrolled blood sugar levels. In the context of maternal newborn nursing, educating clients with gestational diabetes about the importance of frequent blood sugar monitoring is crucial for their health and the well-being of the fetus. It empowers clients to take an active role in managing their condition and helps prevent complications associated with uncontrolled diabetes during pregnancy. Regular monitoring allows for timely adjustments in treatment plans and promotes better outcomes for both the mother and the baby.

Correct Answer: B

Rationale: In the context of teaching a prenatal class about signs of labor, option B, "The baby dropping is a sign of true labor," indicates a need for further teaching. This statement is inaccurate as the baby dropping, also known as lightening, occurs before labor begins and is not a definitive sign of imminent labor. Option A is correct as true labor contractions do indeed increase in intensity and regularity, which is a key characteristic distinguishing them from false labor. Option C is also accurate as false labor contractions, known as Braxton Hicks contractions, often subside with activity and rest, unlike true labor contractions. Option D is correct as true labor results in cervical changes such as effacement and dilation. To enhance understanding, it is crucial for prenatal educators to clarify the distinction between signs of true labor and false labor, emphasizing the importance of recognizing true labor onset to seek appropriate medical care. Providing practical examples, encouraging questions, and offering hands-on activities can aid in reinforcing this crucial information for expectant parents.

Correct Answer: C

Rationale: In the context of maternal newborn nursing, it is crucial for nurses to educate pregnant clients about potential complications that require immediate medical attention. The correct answer to this question is option C) Severe headache and visual disturbances. This symptom is indicative of conditions such as preeclampsia or eclampsia, which are serious hypertensive disorders of pregnancy that can lead to severe complications for both the mother and the baby if not promptly treated. Option A) Mild swelling in the feet, although common in pregnancy, is usually not a cause for immediate concern unless it is sudden, severe, or accompanied by other symptoms of preeclampsia. Option B) Heartburn after eating is a common discomfort in pregnancy but does not typically require urgent medical attention. Option D) Frequent urination is a common symptom in pregnancy due to hormonal changes and the growing uterus pressing on the bladder, but it is not an emergency unless accompanied by pain, burning, or other concerning symptoms. Educationally, it is important for nurses to emphasize the significance of recognizing and reporting signs and symptoms of potentially serious pregnancy complications. Timely intervention and management of conditions like preeclampsia can significantly impact maternal and fetal outcomes, underscoring the critical role of patient education in promoting maternal and newborn health.

Correct Answer: B

Rationale: In the context of pharmacology in maternal newborn nursing, the primary goal of tocolytic therapy in a client experiencing preterm labor at 32 weeks' gestation is to delay delivery and improve fetal lung maturity (Option B). Tocolytic agents are used to inhibit uterine contractions temporarily, allowing time for corticosteroids to enhance fetal lung development and for the administration of magnesium sulfate for neuroprotection in the preterm neonate. Option A, to prevent fetal hypoxia, is not the primary goal of tocolytic therapy. While delaying delivery can indirectly contribute to reducing fetal hypoxia by allowing time for appropriate interventions, it is not the direct aim of tocolysis. Option C, to reduce maternal blood pressure, is not typically a primary goal of tocolytic therapy. Tocolytic agents primarily target uterine smooth muscle to delay labor and do not have a direct effect on maternal blood pressure. Option D, to increase uteroplacental blood flow, is not the primary goal of tocolytic therapy. While maintaining adequate uteroplacental perfusion is important in pregnancy, tocolytic therapy is specifically aimed at inhibiting uterine contractions to delay preterm labor and its associated risks. Understanding the rationale behind tocolytic therapy is crucial for nurses caring for pregnant individuals at risk for preterm labor. By delaying delivery, healthcare providers can optimize outcomes for both the mother and the preterm neonate, emphasizing the importance of fetal lung maturity and appropriate interventions before birth.