Author Question: A woman comes into the emergency department stating she was raped the day before, and requests ... (Read 81 times)

dakota nelson · **on:** Jun 27, 2018

A woman comes into the emergency department stating she was raped the day before, and requests emergency contraception. She states that she is in the middle of her cycle. The nurse knows that:

1. This patient has waited too long before coming to the emergency department.
2. The patient will have to wait 5 days before she can have emergency contraception.
3. The patient can receive emergency contraception up to 72 hours after the intercourse.
4. The patient will have to wait and see whether she misses a period.

Question 2

The nurse caring for a client in labor anticipates fetal macrosomia and shoulder dystocia.

Appropriate management of shoulder dystocia is essential in order to prevent which fetal complications? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Brachial plexus injury
2. Fractured clavicle
3. Asphyxia
4. Neurological damage
5. Puerperal infection

iman · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale 1: The patient is within the 72-hour time frame to receive emergency contraception.
Rationale 2: Emergency contraception should be given sooner than 5 days.
Rationale 3: This patient is within the 72-hour time frame, and is able to receive the medicine.
Rationale 4: If the patient waits until her period is due, the time frame within which emergency contraception is effective would have passed.

Answer to Question 2

1, 2, 3, 4
Explanation: 1. Brachial plexus injury occurs due to improper or excessive traction applied to the fetal head.
2. Complications in macrosomia include fractured clavicles.
3. Complications in macrosomia include asphyxia of the fetus.
4. Neurological damage is a complication of macrosomia.