The nurse provides education on care after a first trimester loss. What is an example of communication with a patient that demonstrates effective aftercare education?

Correct Answer: A

Rationale: In this scenario, option A, "You will need to follow up with us in several weeks. We want to make sure you are doing well," is the correct answer for effective aftercare education following a first-trimester loss. This response demonstrates empathy, ongoing support, and a focus on the patient's well-being, which are crucial aspects of providing holistic care during such a sensitive time. Option B, "You should call us if you are bleeding and soaking 4 maxi pads in a day," is incorrect because it focuses solely on a specific medical parameter (amount of bleeding) without addressing the emotional and psychological needs of the patient. While monitoring bleeding is important, it is equally essential to offer support and follow-up care beyond this aspect. Option C, "Your period will return in 2 weeks," is incorrect as it provides an inaccurate timeline for the return of the menstrual cycle after a first-trimester loss. This information may cause confusion or unnecessary anxiety for the patient if their period does not resume within the stated timeframe. Option D, "You should wait 2 months before having intercourse," is incorrect as it solely addresses a physical aspect of recovery without considering the emotional readiness of the patient to engage in sexual activity after experiencing a pregnancy loss. It is essential to provide comprehensive aftercare that includes emotional support and guidance on resuming normal activities at the patient's own pace. In an educational context, it is crucial for healthcare providers to offer compassionate and comprehensive aftercare education following a first-trimester loss. Effective communication should encompass not only the physical aspects of recovery but also emotional support, follow-up care, and empowering the patient to seek help when needed. This approach helps in promoting the overall well-being and recovery of the patient during this challenging time.

Correct Answer: C

Rationale: The correct answer is C) Respiratory distress is a cause of death related to prematurity. This option is correct because respiratory distress syndrome (RDS) is a common and serious complication of preterm birth. Preterm infants often have underdeveloped lungs, leading to breathing difficulties and requiring respiratory support to survive. Understanding this complication is crucial for nurses caring for preterm infants as prompt intervention is necessary to prevent respiratory failure and death. Option A) is incorrect because intraventricular hemorrhage is a serious complication of prematurity, not a non-serious one. It can lead to long-term neurological issues in preterm infants. Option B) is incorrect because necrotizing enterocolitis is a condition of prematurity that affects the intestines, not causing constipation but rather necrosis and potential perforation of the intestinal wall. Option D) is incorrect because surfactant is a substance that helps keep the lungs open by reducing surface tension, aiding in the exchange of oxygen and carbon dioxide. It does not cause premature lungs to be overly pliable but rather helps prevent collapse of the alveoli. In the context of pharmacology, understanding the complications of preterm birth is essential for nurses administering medications to support preterm infants' respiratory function, such as surfactant therapy. This knowledge enables nurses to anticipate and manage potential complications effectively, ensuring the best outcomes for these vulnerable patients.

Correct Answer: C

Rationale: In the context of supporting siblings through grief after a neonatal loss, the correct answer is option C) Give them permission to cry and grieve. This choice is appropriate because it encourages open expression of emotions, validates their feelings, and fosters a healthy grieving process. By allowing siblings to express their grief, parents can help them process their emotions and cope with the loss in a constructive manner. Option A) Try not to discuss your grief with siblings, is incorrect as it promotes suppression of emotions, which can lead to unresolved grief and emotional distress. Open communication is key in supporting siblings through grief. Option B) Wait until children are older to be honest about their sibling's death, is incorrect because honesty and age-appropriate communication are crucial in helping siblings understand and come to terms with the loss. Delaying the truth may cause confusion and hinder the grieving process. Option D) Avoid displaying pictures of the newborn until the sibling is older, is also incorrect as it may create a sense of secrecy or taboo around the deceased sibling, preventing healthy grieving and acceptance of the reality of the loss. In an educational context, it is essential for nurses and healthcare professionals to understand the importance of supporting siblings through grief after a neonatal loss. By providing appropriate guidance and encouraging open communication and emotional expression, healthcare providers can help families navigate this challenging time with compassion and understanding.

Correct Answer: B

Rationale: The correct answer is B) 15%. In the context of long-acting reversible contraceptive methods (LARCs) such as intrauterine devices (IUDs) and implants, it is crucial to understand the prevalence of contraceptive use among women of reproductive age. This statistic highlights a gap in contraceptive use among sexually active individuals, emphasizing the importance of education and access to effective birth control methods. Option A) 10% is incorrect because it underestimates the percentage of women not using any form of contraception, as evidenced by the survey data provided. Option C) 20% is incorrect as it overestimates the percentage of women not using contraception, based on the survey findings. Option D) 25% is also incorrect as it overestimates the proportion of women not using any form of contraception within the specified time frame. Educationally, understanding the prevalence of contraceptive use is essential for healthcare providers and educators to tailor their efforts towards promoting access to and education about effective contraceptive methods, especially LARCs, to reduce unintended pregnancies and empower individuals to make informed decisions about their reproductive health.

Correct Answer: B

Rationale: In the context of pharmacology and contraceptive methods, understanding the prevalence of oral contraceptive use among specific age groups is crucial. The correct answer, option B (27%), aligns with the data from the Canadian Health Measures Survey for 25- to 29-year-olds. This statistic highlights the relatively high utilization of oral contraceptives within this age bracket, indicating a significant reliance on this form of birth control. Option A (12%) is incorrect because it underestimates the actual usage rate among 25- to 29-year-olds based on the survey data. Option C (37%) and option D (50%) are also incorrect as they overestimate the percentage of individuals in this age group using oral contraceptives, not aligning with the survey findings. From an educational perspective, this question underscores the importance of evidence-based practice in pharmacology. Understanding the real-world prevalence of contraceptive methods allows healthcare providers to make informed decisions when discussing birth control options with patients. It also emphasizes the need for healthcare professionals to stay updated on current research and data to provide accurate information and support to individuals seeking contraceptive advice.