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Nursing Practice II — Maternal and Child Health Nursing
문제

Situation: A nurse works in a private lying-in clinic that offers prenatal care, normal births, postpartum care, and family planning services. A woman arrives with vaginal bleeding after what appears to be an induced abortion. According to the Responsible Parenthood and Reproductive Health Act of 2012 (RA 10354), in what manner must she be treated and counseled?

해설
Abortion remains illegal in the Philippines, but RA 10354 requires that women needing care for post-abortion complications be treated and counseled in a humane, nonjudgmental, and compassionate manner. Care must never be delayed or withheld because an induced abortion is suspected, and the nurse does not interrogate or threaten the woman.
같은 주제 다음 문제Situation: A nurse works in the labor room of a government birthing facility that provides…이 문제가 수록된 문제집PLNE Question Bank 150014,000원 · 무료 체험 가능

심화 해설

The manner the law requires
Abortion remains illegal in the Philippines. The Responsible Parenthood and Reproductive Health Act of 2012 (RA 10354), however, recognizes that women may still suffer complications after an abortion and that they need care. The law requires that women needing care for post-abortion complications be treated and counseled in a humane, nonjudgmental, and compassionate manner. These three exact terms are what the law sets for the care and counseling of women with post-abortion complications.

What this means in practice
The woman with vaginal bleeding is treated first as a patient with a potentially life-threatening condition. Bleeding, infection, and injury after an unsafe abortion can progress quickly. The nurse assesses her vital signs and bleeding, prepares her for medical management, and provides emotional support. Care is never delayed or withheld because an induced abortion is suspected. The nurse does not interrogate, threaten, or shame her, and does not make her treatment conditional on any admission or report.

Why the other options are wrong
A prompt, confidential, and respectful manner describes good qualities of care, but they are not the terms that the law uses for post-abortion care. Watch out! Items on laws often test the exact wording; an option made of sensible-sounding words may still be a distractor. Making humane care wait until the case is reported to the police contradicts the law's requirement of nonjudgmental treatment and could delay life-saving care. Limiting urgent care to cases where her life is in danger is also wrong, because the law covers all women with post-abortion complications.

Post-abortion care and counseling
Once she is stable, counseling includes information on her recovery, warning signs that should bring her back, and family planning, because fertility can return soon after an abortion. The nurse respects her privacy and supports her decisions. Nonjudgmental care also encourages women to seek help early instead of hiding complications out of fear.

Exam takeaway
Under RA 10354, women with post-abortion complications are treated and counseled in a humane, nonjudgmental, and compassionate manner. Key point! Abortion is illegal, but post-abortion care is a right; the nurse's role is to treat and support, not to judge or investigate.

임상 시나리오

Post-Abortion Complication CareRequirements under RA 10354

Abortion is illegal in the Philippines, but RA 10354 requires care for women with post-abortion complications.

Treat and counsel her in a humane, nonjudgmental, and compassionate manner. Assess bleeding and vital signs and prepare for medical management at once.

After stabilization, counsel on recovery, warning signs, and family planning, and protect her privacy.

Caution

Never delay or withhold care because an induced abortion is suspected, and do not interrogate or threaten the woman.

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