The nurse is doing a review of systems on a person in the clinic. The nurse asks if the patient has any problems with sexual dysfunction. Why is it important for the nurse to ask all patients this question?

Correct Answer: A

Rationale: The correct answer is A because sexual dysfunction is a sensitive and often stigmatized topic. By proactively asking all patients about sexual function, regardless of gender, the nurse creates an open and safe space for patients to disclose any issues they may be facing. Some individuals may feel uncomfortable or embarrassed discussing sexual problems, so it is crucial for healthcare providers to initiate the conversation. This approach allows for early identification and intervention, leading to better patient care and outcomes. Choice B is incorrect because not all patients will experience sexual problems. Choice C is incorrect as it is the responsibility of all healthcare providers to address sexual health concerns. Choice D is incorrect as sexual dysfunction can affect individuals of any gender.

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

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.