Answer to Question 1
ANS: A
C-section involves the risks of any major surgery such as hemorrhage, infection, damage to adjacent structures, as well as risks associated with anesthesia. Long-term sequelae for women include pelvic pain, along with formation of adhesions and placental abnormalities that lead to complications in subsequent pregnancies. Risks to the neonate include higher incidence of persistent pulmonary hypertension and respiratory diseases. C-sections are not shown to improve outcomes for either mother or baby. Women should be made aware of the risks involved with interventions associated with birth and educated on how to best select their place of birth. The role of the nurse is to educate her sister that this is a major surgery and remind her of the risks involved. The other responses do not consider the importance of education needed for the client in this situation.
Answer to Question 2
ANS: B
The medical specialty of andrology is considered too narrow. Many private insurance companies will reimburse for illness but not preventive care, such as education or health promotion activities. Men are socialized to view health as a resource that enables the body to work. Therefore good health practices and preventive care are sometimes available in large industries or organized sports (sports medicine). The most complete care is currently offered by the military.
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