Which key point is important for the nurse to understand regarding the perinatal continuum of care?

Correct Answer: B

Rationale: The correct answer is B) Begins with family planning and continues until the infant is 1 year old. Understanding the perinatal continuum of care is essential for maternal newborn nurses as it encompasses care provided to women during preconception, pregnancy, childbirth, and the postpartum period, as well as care provided to the newborn up to one year of age. Option A is incorrect because the perinatal continuum of care extends beyond birth to include the postpartum period and care for the newborn. Option C is incorrect as care does not cease at 24 weeks but continues through the postpartum period and into infancy. Option D is incorrect as the perinatal continuum of care involves a range of care settings, including hospitals, clinics, and community settings, not just home care exclusively. Educationally, understanding the perinatal continuum of care emphasizes the importance of providing comprehensive and continuous care to women and newborns throughout the perinatal period to optimize health outcomes for both. Nurses play a crucial role in promoting maternal and infant health by providing evidence-based care and support across this continuum.

Correct Answer: B

Rationale: In this question, the correct answer is B) Nursing care is delivered in the context of the client's culture but not in the context of the nurse's culture. This statement is inaccurate because cultural competence in nursing requires nurses to not only understand and respect the client's culture but also to reflect on their own cultural beliefs and biases that may influence care delivery. Option A is correct because involving local health care workers and community advocates can indeed help extend health care to underserved populations by bridging cultural gaps and increasing access to care. Option C is also accurate as nurses must develop an awareness of and sensitivity to various cultures to provide culturally competent care that respects and meets the diverse needs of clients. Option D is a valid statement as well because cultural, economic, religious, and political factors all play a role in influencing practices related to childbearing within different cultural contexts. Educationally, understanding cultural competence in maternal newborn nursing is crucial for providing effective and respectful care to a diverse population of pregnant individuals and newborns. Nurses must be aware of their own cultural background, biases, and beliefs to deliver care that is sensitive to the cultural needs and preferences of their clients. By recognizing and embracing cultural diversity, nurses can enhance the quality of care and build trusting relationships with their patients.

Correct Answer: A

Rationale: Before the client makes any decisions, she should discuss this newly discovered information with a genetic counselor. Genetic counselors can help with the diagnosis and management of families affected by genetic conditions. The discussion of potential surgery should be pursuant to genetic counseling. Telling the woman that everything is going to be fine may give her false hope and is not accurate. All options should be discussed with the genetic counselor. Furthermore, the guiding principle for genetic counseling is nondirection, which respects the right of the individual or family who are being counseled to make autonomous decisions.

Correct Answer: B

Rationale: Testing is not 100% accurate and has a high percentage of false-negative results. An individual may not take these results seriously and subsequently fail to have testing completed or to seek necessary follow-up consultation. Anxiety and altered family relationships are often the result of genetic testing. The results of genetic testing may be difficult to keep confidential, and family members may feel pressured to have testing performeDecisions about genetic testing are shaped by socioeconomic status and the ability to pay for the testing. Some types of genetic testing are expensive and are not covered by insurance benefits. Caucasian middle-class families have greater access to genetic screening; therefore, this population is less at likely to decide against genetic testing.

Correct Answer: A

Rationale: Factor V Leiden is the most common inherited risk factor for primary or recurrent venous thromboembolism. It is an autosomal recessive disorder that increases an individual's risk for blood clots in the legs and pulmonary emboli. This risk significantly increases if the woman is pregnant or is taking oral contraceptives or hormone replacement therapy. Prophylactic anticoagulation therapy decreases the risk of comorbidities.