Page 636 - Saunders Comprehensive Review For NCLEX-RN

Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Maternity: Antepartum
Health Problem: N/A
Priority Concepts: Health Promotion; Reproduction
Reference: McKinney et al. (2018), p. 578.

192. Answer: 3, 5

Rationale: The placenta provides an exchange of oxygen, nutrients, and waste
products between the mother and the fetus. The amniotic fluid surrounds, cushions,
and protects the fetus and maintains the body temperature of the fetus. Nutrients,
medications, antibodies, and viruses can pass through the placenta.
Test-Taking Strategy: Focus on the subject, the purpose of the placenta.
Remember that the placenta provides oxygen and nutrients.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Maternity: Antepartum
Health Problem: N/A
Priority Concepts: Development; Reproduction
Reference: McKinney et al. (2018), pp. 206-207, 209.

193. Answer: 2

Rationale: The nurse needs to establish trust when discussing sexual relationships
with men. The nurse should open the conversation with broad statements to
determine the true nature of the client’s concerns. The frequency of intercourse is not
a relevant first question to establish trust. Testosterone declines with the aging
process.
Test-Taking Strategy: Note the strategic word, best. Determine whether further
assessment or validation is needed. In this case, more information is needed to
determine the nature of the client’s concerns. Keeping these concepts in mind and
using therapeutic communication techniques will assist in directing you to the
correct option.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Content Area: Adult Health: Reproductive
Priority Concepts: Communication; Sexuality
Reference: Lewis et al. (2017), p. 1288.

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