ATI RN
Ethical Issues in Maternal Newborn Nursing Questions
Question 1 of 5
Which statement regarding human trafficking is correct?
Correct Answer: B
Rationale: The correct answer to the question "Which statement regarding human trafficking is correct?" is B) Victims often experience the Stockholm syndrome. This statement is correct because Stockholm syndrome is a psychological phenomenon where victims develop positive feelings towards their captors as a survival strategy. In the context of human trafficking, victims may form a bond with their traffickers as a way to cope with their traumatic situation. Option A is incorrect because human trafficking is a global issue, not limited to the United States. It is prevalent in many countries around the world, making it a transnational problem. Option C is incorrect as the majority of human trafficking victims are women and girls, although boys and men can also be victims. However, the statement that the vast majority are young boys and girls is inaccurate. Option D is incorrect because human trafficking encompasses various forms of exploitation, including forced labor, organ trafficking, and forced marriage, in addition to commercial sex work. It is crucial to recognize that human trafficking is not solely about sexual exploitation but also includes other forms of coercion and abuse. In an educational context, understanding the complexities of human trafficking is essential for healthcare professionals, especially those in maternal newborn nursing. Nurses play a vital role in identifying and supporting victims of human trafficking, as they may encounter trafficked individuals seeking healthcare services. By being knowledgeable about the signs of human trafficking and the psychosocial dynamics involved, nurses can provide appropriate care and support to these vulnerable populations.
Question 2 of 5
A client complains of severe abdominal and pelvic pain around the time of menstruation. This pain has become progressively worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months. To which condition are these symptoms most likely related?
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Endometriosis. Endometriosis is a condition where the tissue that lines the uterus (endometrium) grows outside of it, causing severe pain, especially during menstruation and intercourse. The client's symptoms of progressively worsening pain over years, pain during intercourse, and difficulty getting pregnant are classic signs of endometriosis. Option B) PMS (Premenstrual Syndrome) is characterized by emotional and physical symptoms before menstruation, such as mood swings and bloating, but it does not typically cause severe abdominal and pelvic pain or pain during intercourse. Option C) Primary dysmenorrhea refers to common menstrual cramps that are not caused by an underlying condition, usually improving with age or after childbirth. It does not explain the severity and chronic nature of the client's symptoms. Option D) Secondary dysmenorrhea is menstrual pain caused by an underlying condition like endometriosis, fibroids, or pelvic inflammatory disease. While this option acknowledges an underlying issue, it does not specify the specific condition causing the symptoms described by the client. Understanding these key differences is crucial in maternal newborn nursing to ensure accurate assessment, diagnosis, and appropriate management of conditions affecting women's reproductive health. Identifying endometriosis early can help prevent complications and improve the client's quality of life and fertility outcomes.
Question 3 of 5
Dysfunctional uterine bleeding (DUB) is defined as excessive uterine bleeding without a demonstrable cause. Which statement regarding this condition is most accurate?
Correct Answer: A
Rationale: The correct answer is A) DUB is most commonly caused by anovulation. This statement is accurate because dysfunctional uterine bleeding (DUB) is often the result of hormonal imbalances that lead to irregular ovulation or anovulation, disrupting the normal menstrual cycle. Anovulation can cause the lining of the uterus to build up excessively and then be shed irregularly, resulting in excessive and prolonged bleeding. Option B) DUB most often occurs in middle age is incorrect because DUB can occur at any age during a woman's reproductive years and is not limited to middle age. Option C) The diagnosis of DUB should be the first consideration for abnormal menstrual bleeding is incorrect because before diagnosing DUB, other potential causes of abnormal menstrual bleeding, such as structural abnormalities or bleeding disorders, should be ruled out to ensure appropriate management. Option D) Steroids are the most effective medical treatment for DUB is incorrect. Treatment for DUB typically involves correcting the underlying hormonal imbalance through methods like hormonal contraceptives or nonsteroidal anti-inflammatory drugs to control bleeding, not steroids. In an educational context, understanding the etiology of DUB is crucial for nurses caring for women experiencing abnormal uterine bleeding. Recognizing common causes like anovulation helps guide assessment, intervention, and patient education to promote optimal maternal health and well-being.
Question 4 of 5
Which statement related to the condition of endometriosis is most accurate?
Correct Answer: C
Rationale: The correct answer is C) Endometriosis may worsen with repeated cycles or remain asymptomatic and disappear after menopause. This statement is accurate because endometriosis is a chronic condition where tissue similar to the lining of the uterus grows outside the uterus. Symptoms can fluctuate with the menstrual cycle and may lessen after menopause due to hormonal changes. Option A is incorrect because endometriosis involves the growth of endometrial-like tissue outside the uterus, not inside. Option B is incorrect as endometriosis affects women of all ethnicities, not just African-American women. Option D is incorrect as endometriosis can significantly impact sexual intercourse and fertility due to pain, scarring, and inflammation. In an educational context, understanding accurate information about endometriosis is crucial for nurses caring for women of reproductive age. Recognizing symptoms, understanding the impact on fertility and sexuality, and being aware of treatment options can help nurses provide comprehensive care and support to women with endometriosis.
Question 5 of 5
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans, with an estimated number of 14 million new infections each year. The highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent HPV is now available. Which statement regarding this vaccine is inaccurate?
Correct Answer: A
Rationale: The correct answer is A) Only one vaccine for HPV is available. This statement is inaccurate because there are actually multiple vaccines available to prevent HPV infection. Currently, there are three main HPV vaccines approved by the FDA: Gardasil, Gardasil 9, and Cervarix. These vaccines provide protection against various strains of the virus that can cause genital warts and certain types of cancer. Option B) The vaccine is given in three doses over a 6-month period is correct. The HPV vaccine is typically administered in a series of shots, usually three doses over a 6-month period. This dosing schedule is crucial for ensuring optimal protection against HPV. Option C) The vaccine is recommended for both boys and girls is also correct. The HPV vaccine is recommended for both males and females to prevent HPV-related diseases and reduce transmission of the virus. It is essential for both genders to receive the vaccine to achieve herd immunity and decrease the overall prevalence of HPV infections. Option D) Ideally, the vaccine is administered before the first sexual contact is correct as well. The HPV vaccine is most effective when administered before individuals become sexually active and are exposed to the virus. By vaccinating individuals before their first sexual encounter, the vaccine can provide maximum protection against HPV infection. In an educational context, it is crucial for healthcare providers, especially those specializing in maternal newborn nursing, to have a thorough understanding of HPV vaccination guidelines. Educating young women, men, and their families about the importance of HPV vaccination can help prevent HPV-related diseases and promote overall public health. Healthcare professionals should stay updated on the latest recommendations regarding HPV vaccination to provide accurate information and support preventive healthcare practices.