Which client is the best candidate for birth control pills?

Correct Answer: B

Rationale: In the context of maternal newborn nursing, the 27-year-old who bottle feeds her newborn is the best candidate for birth control pills. This choice is based on the fact that hormonal contraceptives can decrease breast milk production in breastfeeding mothers. It is important to consider the impact of birth control methods on the infant when counseling postpartum women. Option A, the 19-year-old with multiple sex partners, may benefit from birth control pills to prevent unintended pregnancies, but other contraceptive methods should be considered due to the risk of sexually transmitted infections with multiple partners. Option C, the 29-year-old with chronic hypertension, should avoid estrogen-containing birth control pills due to the increased risk of cardiovascular complications. Option D, the 37-year-old who smokes one pack per day, is at higher risk of cardiovascular events when taking estrogen-containing birth control pills due to the synergistic effect of smoking and estrogen on blood clot formation. Educationally, understanding the individualized considerations for birth control methods in postpartum women is crucial for providing safe and effective care. It highlights the importance of assessing each client's medical history, lifestyle factors, and reproductive goals when recommending contraception.

Correct Answer: B

Rationale: In maternal newborn nursing, it is crucial to understand why a woman should refrain from douching while menstruating. The correct answer is B) Endometritis. Endometritis is an infection of the endometrial lining of the uterus, and douching during menstruation can introduce harmful bacteria into the uterus, increasing the risk of developing this infection. Option A) Fibroids are non-cancerous growths in the uterus and are not directly related to douching during menstruation. Option C) Cervical cancer is a slow-growing cancer that is linked to human papillomavirus (HPV) and other factors, but not specifically to douching during menstruation. Option D) Polyps are abnormal tissue growths that can occur in various parts of the body, including the uterus, but they are not directly associated with douching during menstruation. Educationally, it is important for students to understand the risks associated with douching during menstruation to promote proper maternal newborn care. Teaching about the harmful effects of douching can help future nurses educate their patients on maintaining good reproductive health practices and preventing infections like endometritis. By providing this knowledge, healthcare professionals can empower women to make informed decisions about their reproductive health and overall well-being.

Correct Answer: A

Rationale: In a bulimic client, the nurse would expect serum laboratory reports indicative of electrolyte imbalances due to purging behaviors. Option A, Potassium 3.0 mEq/L, is correct as bulimia can lead to hypokalemia from repeated vomiting or laxative abuse. This electrolyte imbalance can result in cardiac arrhythmias and muscle weakness. Option B, Bicarbonate 30 mmol/L, is incorrect as it may be within a normal range and not specifically associated with bulimia. Option C, Platelet count 450,000 cells/mm3, is also incorrect as it is unrelated to the effects of bulimia on lab values. Option D, Hemoglobin A1C 9%, is incorrect as it is a measure of long-term glucose control in diabetes, not typically impacted by bulimia. Educationally, understanding the impact of eating disorders on lab values is crucial for nurses caring for clients with these conditions. Recognizing electrolyte imbalances in bulimic clients is essential for prompt intervention to prevent serious complications. Nurses must be knowledgeable about the specific alterations in lab values associated with eating disorders to provide effective care and support to these individuals.

Correct Answer: B

Rationale: In maternal newborn nursing, it is essential for nurses to be vigilant about signs of anorexia in clients to provide appropriate care and support. The correct answer is B) Significant weight loss and amenorrhea. Anorexia nervosa is characterized by a distorted body image, fear of gaining weight, and restrictive eating habits leading to significant weight loss. Amenorrhea, the absence of menstruation, is a common symptom due to the body conserving energy for survival rather than reproductive functions. Option A) Aversion to exercise and food allergies do not directly correlate with anorexia. While individuals with anorexia may avoid exercise, it is not a defining characteristic. Food allergies are unrelated to anorexia. Option C) Respiratory distress and thick oral mucus are not typical indicators of anorexia. These symptoms may be seen in respiratory conditions or dehydration but are not specific to anorexia. Option D) Cardiac arrhythmias and anasarca are severe complications of prolonged malnutrition in anorexia but are not initial findings that would make a nurse suspicious of the disorder. These occur in advanced stages and require immediate medical attention. Educationally, understanding the signs and symptoms of anorexia in maternal newborn nursing is crucial for early detection and intervention. By recognizing the subtle clues like significant weight loss and amenorrhea, nurses can initiate appropriate care, provide referrals for psychological support, and prevent further complications for both the mother and newborn.

Correct Answer: A

Rationale: In the context of intimate partner violence, the 'honeymoon phase' refers to a period where the abuser may express remorse, apologize, or make promises to change their behavior to manipulate and control the victim further. Option A is correct because the statement "My partner said he will never hurt me again" indicates a classic tactic used during this phase. This statement can give false hope to the victim, making them believe the abuse will stop. Options B, C, and D are incorrect because they do not specifically indicate behaviors associated with the 'honeymoon phase' of abuse. Alcohol consumption, yelling less, and insomnia are not necessarily indicators of an abusive relationship in the 'honeymoon phase.' Educationally, it is crucial for healthcare providers, especially those in maternal newborn nursing, to recognize signs of intimate partner violence and understand the dynamics of abusive relationships. By identifying subtle cues like promises of change in the 'honeymoon phase,' healthcare professionals can provide appropriate support, resources, and interventions to ensure the safety and well-being of their patients.