Author Question: A pregnant woman in the perinatal clinic is a commercial sex worker and states that she frequently ... (Read 38 times)

tsand2 · **on:** Jun 28, 2018

A pregnant woman in the perinatal clinic is a commercial sex worker and states that she frequently has unprotected sexual intercourse.

The nurse should educate this woman about which complications of sexually transmitted diseases (STDs)? (Select all that apply.)
A.
Ectopic pregnancy
B.
Frequent multi-fetal pregnancy
C.
Gestational hypertension
D.
Preterm labor
E.
Spontaneous abortion

Question 2

The nurse schedules a patient for her first prenatal appointment with the certified nurse-midwife (CNM) in the clinic. About what topics does the nurse help the patient formulate questions to ask the CNM? (Select all that apply.)

A.
An opportunity to meet other patients who have delivered with this practice
B.
The CNM's beliefs and practices concerning epidural anesthesia and episiotomies
C.
Use of complementary and alternative methods during labor and birth
D.
What happens if the patient gives birth when the CNM is not available
E.
Whether the CNM will be available by phone or Internet to answer questions

aloop · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, D, E
STDs (sometimes referred to as sexually transmitted infectionsSTIs) predispose to a number of complications, including ectopic pregnancy, spontaneous abortion, preterm labor, and increased neonatal morbidity. All pregnant women should be screened for STDs. STDs are not associated with frequent multi-fetal pregnancy or gestational hypertension.

Answer to Question 2

ANS: B, C, D, E
A woman's journey through the pregnancy experience can have long-term effects on her self-perception and self-concept. Therefore, it is especially important that the patient choose a care provider with whom she can openly relate and who shares the same philosophical views on the management of pregnancy. Although in unusual circumstances a patient may give permission for the CNM to provide her information to a patient with a similar situation, routinely sharing personal information with other patients would be a violation of confidentiality principles and laws.