Squatting (B) helps to align the fetus with the pelvic outlet and allows gravity to assist in fetal descent and gives the client an adventitious position for birth. A primigravida at 12- weeks gestation who just moved to the United States indicates she has not received any immunizations.
Alexandra is 21-year-old primigravida at 10 weeks of gestation. She has arrived for her first prenatal visit. She is 5' 3" tall, and her prepregnant weight is 245 lbs. In your prenatal discussion about optimal weight gain during her pregnancy, it is important to stress that Alexandra should gain 10-15 lbs to accommodate the growing placenta and ...
A primigravida at 12 weeks' gestation complains of nausea and vomiting during a visit to the prenatal clinic. ... A primigravida in her seventh week of gestation asks the nurse when she can expect to feel her baby move. The nurse replies that quickening usually occurs in the: ... During discharge teaching a client who just had a hysterectomy ...
A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. ... Eight to 12 women are placed in gestational-age cohort groups. D) Outcomes are similar to those of traditional prenatal care. ... A woman has just moved to the United States from Mexico. She is 3 months ...
A nurse evaluates that a client who is taking oral contraceptives understands the related dietary teaching when the client states, "While I'm taking birth control pills I should increase my intake of foods containing: Lightheadedness. A nurse is caring for a client in labor whose cervix is dilated 6 cm.
Breastfeed the infant less frequently. A nurse teaches a woman who is planning to breastfeed how to relieve breast engorgement. The nurse determines that further teaching is necessary when the woman states that she will: B. A client has a total hysterectomy with bilateral salpingo-oophorectomy for cancer of the ovary.
A nurse in the fertility clinic is instructing a client who will be using progesterone gel vaginally in the treatment of luteal phase infertility. When discussing the side effects of progesterone, what should the nurse tell the client to expect? Frequent ambulation is begun within 24 hours.
A fetal monitor is applied to a client in labor. The nurse should take action in response to a fetal heart rate that: Reddish streaks on the abdomen and breasts. At a routine monthly visit, while assessing a client who is in her 26th week of gestation, the nurse identifies the presence of striae gravidarum.
Seven days after each menstrual period. A 36-year-old client undergoes a modified radical mastectomy. The nurse determines that the client understands the schedule for self-examination of her remaining breast when she states that she will examine her breast: Subtract 18 days from the length of my shortest cycle".
6 hours. A nurse in a family planning clinic determines that a client understands the discussion about using a cervical cap with a spermicide when the client states that after intercourse, a cervical cap must be left in place for at least: Repeatedly drops abruptly to 90 beats/min unrelated to contractions.
A couple in their late 30s who wish to have a child are referred for genetic counseling . They tell the nurse that they have a family history of an inheritable problem but have reservations about genetic counseling because they believe that genetic clinics favor abortion when the studies reveal a defective fetus.
A) A normal pregnancy lasts about 10 lunar months. In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that: A) Nonacceptance of the pregnancy very often equates to rejection of the child.
B) Alteration in the pattern of fetal movement. A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.
that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common.
To provide the patient with accurate information about dental care during pregnancy, maternity nurses should be aware that: A) Dental care can be dropped from the priority list because the woman has enough to worry about. and is getting a lot of calcium anyway.
With regard to medications, herbs, shots, and other substances normally encountered by pregnant women, the maternity nurse should be aware that: A) Both prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus.
This is called the vena caval syndrome, or supine hypotension. A client who is in the second trimester of pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus.
Prepregnant weight determines the recommended weight gain during pregnancy. Underweight women are advised to gain 28-40 pounds. The nurse understands that a client's pregnancy is progressing normally when what physiologic changes are documented on the prenatal record of a woman at 36 weeks' gestation?
Click card to see definition 👆. Tap card to see definition 👆. Answer: 1, 3, 4, 5. Explanation: 1. The sacroiliac, sacrococcygeal, and pubic joints of the pelvis relax in the later part of the pregnancy, presumably as a result of hormonal changes. This often causes a waddling gait.
Answer: 2. Explanation: 2. Striae, or stretch marks, are reddish, wavy, depressed streaks that may occur over the abdomen, breasts, and thighs as pregnancy progresses. The nurse is listening to the fetal heart tones of a client at 37 weeks' gestation while the client is in a supine position.
Explanation: 1. The sacroiliac, sacrococcygeal, and pubic joints of the pelvis relax in the later part of the pregnancy, presumably as a result of hormonal changes. This often causes a waddling gait.
Because the plasma volume increase (50%) is greater than the erythrocyte increase (25%), the hematocrit decreases slightly.
Explanation: 1. The pulse rate frequently increases during pregnancy, although the amount varies from almost no increase to an increase of 10 to 15 beats per minute. This is a normal response, and does not indicate a need for emergency measures or treatment. A client at 16 weeks' gestation has a hematocrit of 35%.