Which statement best describes the advantage of a labor, birth, recovery, and postpartum (LDRP) room?

Correct Answer: C

Rationale: The correct answer is C) The woman's support system is encouraged to stay until discharge. In the context of maternity care, having a labor, birth, recovery, and postpartum room where the woman's support system is encouraged to stay provides numerous advantages. This arrangement promotes family-centered care, which has been shown to improve maternal and infant outcomes by fostering emotional support, enhancing bonding, and increasing patient satisfaction. Having a loved one present during labor and birth can reduce anxiety and fear, leading to a more positive birth experience. Additionally, continuous support from a familiar person can help the mother cope with pain and make informed decisions during labor. Option A, stating that the family is in a familiar environment, is also important for promoting a sense of comfort and security during childbirth. However, the primary advantage of an LDRP room is the active involvement and support of the woman's chosen individuals. Option B, suggesting that LDRP rooms are less expensive than traditional hospital rooms, is incorrect as the cost of the room does not determine the quality of care or the benefits of having a support system present. Option D, implying that the infant is removed to the nursery to allow the mother to rest, goes against current best practices that emphasize rooming-in and promoting uninterrupted bonding and breastfeeding between the mother and baby. In conclusion, the correct answer highlights the importance of social support during childbirth, emphasizing the positive impact it can have on the birthing experience and outcomes for both the mother and baby.

Correct Answer: D

Rationale: The most appropriate goal for the collaborative problem of wound infection is option D, which states "Monitor the patient to detect therapeutic response to antibiotic therapy." This goal is the most suitable because it directly addresses the issue of wound infection by focusing on the effectiveness of the treatment being provided. Option A, "The patient will not exhibit further signs of infection," is not as specific or measurable as option D. It does not provide clear criteria for evaluating the patient's progress towards resolving the infection. Option B, "Maintain the patient's fluid intake at 1000 mL/8 hours," is important for overall patient care but does not directly address the specific issue of wound infection and its treatment. Option C, "The patient will have a temperature of 98.6°F within 2 days," is a specific goal related to fever resolution but may not necessarily reflect the overall resolution of the wound infection. Educationally, it is crucial to understand the importance of setting clear, specific, and measurable goals when addressing patient care issues. Monitoring the patient's response to antibiotic therapy is a critical aspect of managing wound infections to ensure that the treatment is effective and the patient is progressing towards recovery. By focusing on monitoring therapeutic response, healthcare providers can make informed decisions about adjusting treatment plans if necessary to achieve optimal outcomes for the patient.

Correct Answer: A

Rationale: The most therapeutic response by the nurse is option A) "You're afraid to take the baby home?" This response demonstrates active listening and empathy, acknowledging the patient's feelings and opening the door for further discussion. It shows the nurse's willingness to engage with the patient's emotions and concerns, fostering trust and a therapeutic relationship. Option B is incorrect because it dismisses the patient's feelings and assumes that having a mother's help is the solution, which may not be the case for every individual. This response lacks empathy and may make the patient feel unheard or unsupported. Option C is not the best response as it is directive and does not address the patient's emotional needs. Simply referring the patient to literature may come across as dismissive of their concerns and does not promote open communication or address the patient's fears. Option D, while sharing a personal experience, does not directly address the patient's immediate feelings of fear and may shift the focus away from the patient's emotions. It is important in a therapeutic setting to prioritize the patient's concerns and feelings over personal anecdotes. In an educational context, this question highlights the importance of active listening, empathy, and therapeutic communication in nursing practice. Nurses need to be sensitive to patients' emotional needs and respond in a supportive and caring manner to build trust and promote patient well-being.

Correct Answer: D

Rationale: In the context of a patient in active labor, the nursing diagnosis that should be identified as a priority is "D) Risk for injury (maternal) related to altered sensations and positional or physical changes." This is the correct answer because during active labor, the mother is undergoing intense physical changes and sensations that can increase the risk of injury. The nurse's priority is to ensure the safety and well-being of both the mother and the baby. Option A, "Risk for anxiety related to upcoming birth," though important, is not the priority in this situation as physical safety takes precedence over emotional concerns during active labor. Option B, "Risk for imbalanced nutrition related to NPO status," is not the priority because the focus is on the labor process rather than nutrition intake. Option C, "Risk for altered family processes related to new addition to the family," is also important but not the priority during active labor when the focus is on the immediate physical well-being of the mother. In an educational context, it is crucial for nursing students to understand the prioritization of nursing diagnoses based on the patient's condition and needs. This question highlights the importance of assessing and addressing the most critical issue first to ensure optimal patient outcomes. Understanding the rationale behind prioritizing certain nursing diagnoses helps students develop clinical reasoning skills essential for effective nursing practice.

Correct Answer: C

Rationale: The correct answer is C) Nursing programs are turning away qualified applicants. This statement is true regarding the shortage of nurses in the United States because despite the growing demand for healthcare services, many nursing programs have to reject qualified candidates due to faculty shortages, limited clinical placement sites, and budget constraints. This leads to a reduced number of new nurses entering the workforce, exacerbating the shortage. Option A is incorrect because the nursing workforce in the U.S. is actually aging, with a significant proportion of older nurses nearing retirement age, contributing to the shortage. Option B is incorrect because while improved RN-to-patient ratios have been associated with better patient outcomes, the shortage of nurses has led to increased workloads and higher patient ratios, negatively impacting patient care. Option D is incorrect because there is a notable shortage of both classroom and clinical facilities for training RNs, hindering the capacity to educate and produce more nurses to meet the demand. In an educational context, understanding the reasons behind the shortage of nurses is crucial for nursing students and professionals. It highlights the importance of addressing systemic issues such as limited resources, faculty shortages, and barriers to education in order to build a sustainable nursing workforce that can meet the healthcare needs of the population. Students should be aware of these challenges as they consider their career paths and advocate for improvements in nursing education and workforce development.