The intrapartum woman sees no need for an admission fetal ...

[BRWH]

The intrapartum woman sees no need for an admission fetal monitoring strip. If she continues to refuse, what is the first action the nurse should take?
 
  a. Consult the family of the woman.
  b. Notify the physician.
  c. Document the woman's refusal in the nurse's notes.
  d. Make a referral to the hospital ethics committee.

Question 2

The United States ranks 25th in infant mortality rates of the world. Which factor has a significant impact on decreasing the mortality rate of infants?
 
  a. Resolving all language and cultural differences
  b. Enrolling the pregnant woman in the Medicaid program by the 8th month of
  pregnancy
  c. Ensuring early and adequate prenatal care
  d. Providing more women's shelters

[tuate]

Answer to Question 1

B
Feedback
A The patient must be allowed to make choices voluntarily without undue
influence or coercion from others.
B Patients must be allowed to make choices voluntarily without undue influence or
coercion from others. The physician, especially if unaware of the patient's
decision, should be notified immediately. The nurse should notify the physician
of the refusal of the agency's protocol and document all aspects of the
explanations given by the nurse, as well as any instructions from the physician.
C Documentation is important, but it should not be the first action.
D Fetal monitoring is not usually considered an ethical problem.

Answer to Question 2

C
Feedback
A Language and cultural differences are not infant mortality issues but must be
addressed to improve overall health care.
B Medicaid provides health care for poor pregnant women, but the process may
take weeks to take effect. The 8th month is too late to apply and receive benefits
for this pregnancy.
C Because preterm infants form the largest category of those needing expensive
intensive care, early pregnancy intervention is essential for decreasing infant
mortality rates. This is especially important for women in high-risk groups, such
as racial minorities, teenagers, and those living in poverty.
D The women in shelters have the same difficulties in obtaining health care as do
other poor people, particularly lack of transportation and inconvenient hours of
the clinics.

[BRWH]

Correct answers!

[tuate]

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