What should health-care providers be attentive to during the trauma-informed gynecologic examination to avoid retraumatization? Select all that apply.

Correct Answer: B,C,D

Rationale: The correct answer is B, C, and D. B: Establishing safety and trust is crucial to avoid retraumatization during the examination. It helps create a secure environment for the patient. C: Recognizing signs of distress and offering support shows empathy and helps address any emotional reactions that may arise during the examination. D: Using trauma-sensitive language and communication is essential to avoid triggering past traumas and ensuring clear and respectful communication. Choices A is incorrect because while providing information about trauma support resources is important, it is not directly related to avoiding retraumatization during the examination.

Correct Answer: B

Rationale: The correct answer is B: generating solutions. In the CJMM (Clinical Judgment Model in Nursing), developing a plan to achieve patient outcomes falls under the step of generating solutions. This step involves identifying and implementing interventions to address the patient's needs and achieve the desired outcomes. Prioritizing hypotheses (A) is about identifying potential issues, not developing a plan. Taking action (C) is about implementing the plan, not developing it. Evaluating outcomes (D) is the final step where the effectiveness of the plan is assessed, not where the plan is developed. Therefore, B is the correct choice as it specifically focuses on the process of creating a plan to achieve patient outcomes within the CJMM.

Correct Answer: A

Rationale: The correct answer is A: Corpus albicans. After ovulation, if pregnancy does not occur, the corpus luteum regresses and degenerates into the corpus albicans, which is a white scar tissue in the ovary. This process marks the end of the ovarian cycle. The other options are incorrect: B: Corpus callosum is a structure in the brain, C: Corpus cavernosum refers to erectile tissue in the penis, and D: Corpus allatum is a neuroendocrine organ in insects.

Correct Answer: A

Rationale: The correct answer is A: Provide pain relief measures. In hypertonic uterine contractions, the uterus contracts too frequently and intensely, leading to increased pain and potential fetal distress. Providing pain relief helps alleviate discomfort for the client and may reduce the risk of fetal distress. Other choices are incorrect because: B) Amniotomy may not be necessary and could potentially worsen the situation. C) Ambulation may not be safe or effective during hypertonic contractions. D) Monitoring the oxytocin infusion closely is important but not the priority in managing hypertonic contractions.

Correct Answer: B

Rationale: The correct answer is B: Leafy green vegetables. Folic acid is essential during pregnancy for proper fetal development. Leafy green vegetables like spinach, kale, and broccoli are rich sources of folic acid. Citrus fruits (Choice A) contain vitamin C but not as much folic acid as leafy greens. Dairy products (Choice C) provide calcium but are not significant sources of folic acid. Lean meats (Choice D) are good sources of protein but do not contain as much folic acid as leafy green vegetables. Therefore, recommending leafy green vegetables ensures the client gets an adequate intake of folic acid during pregnancy.