Ch. 16

12. The nurse is doing meal planning with a pregnant woman with iron-deficiency anemia. What dietary recommendations would the nurse make to enhance the woman's intake of iron? Select all that apply. Cook food in an iron skillet, if possible. Since fortified cereals are a poor source of iron, eat eggs or pancakes for breakfast. Drink orange juice with the iron supplement. Increase intake of dried beans and green leafy vegetables. Limit intake of dried fruits, eating only fresh fruit.

Cook food in an iron skillet, if possible. Increase intake of dried beans and green leafy vegetables. Drink orange juice with the iron supplement.

15. Many women develop iron-deficient anemia during pregnancy. What diagnostic criteria would the nurse monitor for to determine anemia in the pregnant woman? Hematocrit of 32% or less Blood pressure of 100/68 mm Hg Hemoglobin of 13 g/dl (130 g/L) or lower Heart rate of 84 beats/min

Hematocrit of 32% or less

7. The nurse is teaching a pregnant woman about how to prevent contracting cytomegalovirus (CMV) during pregnancy. What tips would the nurse share with this client? Select all that apply. If you contract CMV, your practitioner will give you some oral medicine to treat it. If you develop any flu-like symptoms, notify your practitioner immediately to be evaluated for CMV. Wash your hands thoroughly with soap and water after touching saliva or urine. If you have CMV, it is suggested that you not breastfeed your infant. Do not share food or drinks with young children, especially if they are in day care

If you develop any flu-like symptoms, notify your practitioner immediately to be evaluated for CMV. Wash your hands thoroughly with soap and water after touching saliva or urine. Do not share food or drinks with young children, especially if they are in day care

10. A woman with known cardiac disease is in labor. In what position would the nurse place the client? Semi-recumbent with a pillow under one hip Trendelenburg High-Fowler with a pillow at the back Supine

Semi-recumbent with a pillow under one hip

3. A 15-year-old adolescent arrives at the office with a report of flu symptoms, including nausea and vomiting and recent weight loss. A pregnancy test is done and is positive. The client begins crying and tells the nurse her mother will be furious with her. What can the nurse do to assist this adolescent at this point? Recommend some adoption agencies for her to talk to in the near future. Tell the adolescent that this is too big of a problem for her to make decisions about and she needs to listen to her mother. Support her by respecting her right to privacy and confidentiality. Contact the mother of the adolescent to be sure the child gets prenatal care.

Support her by respecting her right to privacy and confidentiality.

2. A pregnant client is reporting of a large amount of malodorous vaginal discharge that is foamy and yellow-green in color, vaginal itching and painful intercourse. When asked, she also reports that urination is somewhat painful. She is diagnosed with trichomoniasis. What treatment would the nurse anticipate the client receiving? oral metronidazole oral erythromycin ceftriaxone IM benzathine penicillin G IM

oral metronidazole

13. The nurse is assessing a woman with class III heart disease who is in for a prenatal visit. What would be the first recognizable sign that this client is in heart failure? low blood pressure audible wheezes elevated blood pressure persistent rales in the bases of the lungs

persistent rales in the bases of the lungs

8. What criteria would the practitioner base a decision on to begin insulin therapy for a mother with gestational diabetes? A 2-hour postprandial glucose level cannot be kept below 120 mg/dl. Urine is 2+ for glucose and serum blood glucose is 120. Weight gain is over 30 pounds (13.6 kg) and blood sugars are fluctuating between 95 and 130 throughout the day. Client cannot keep fasting blood sugar lower than 90 mg/dl.

A 2-hour postprandial glucose level cannot be kept below 120 mg/dl.

1. Which initial interview technique would be least effective in gathering information from a suspected abuse victim? Ask the client to strip down and show you where she has been hurt. Ask open-ended, nonjudgmental questions of the client. Convey to the client that the abuse is not her fault, such as "No one deserves to be treated like this." Avoid questions that appear accusatory such as "Why don't you just leave him?"

Ask the client to strip down and show you where she has been hurt.

5. A woman in her 20s has a long history of sickle cell anemia and is 18 weeks' pregnant. What precautions would the nurse recommend the woman take to minimize the chance of experiencing a sickle cell crisis? Notify the health care provider immediately if she develops any jaundice. Keep the home temperature around 70°F (21°C) to lessen the heart's workload. If she is feeling well, she needs to come to the office once a month until she is in her third trimester. Get at least 8 hours sleep each night.

Get at least 8 hours sleep each night.

4. A pregnant client is diagnosed with syphilis. Which response would demonstrate respect for the client and therapeutic communication? "I noticed that you seem fidgety. Is there something wrong besides your STI?" "You should have thought about what diseases you could be exposed to. At least you are HIV negative." I am sure it is frightening to you to be diagnosed with a disease that can affect your baby. "Why didn't you use protection when having intercourse with your partner?"

I am sure it is frightening to you to be diagnosed with a disease that can affect your baby.

11. A woman with known cardiac disease from childhood presents at the obstetrician's office 6 weeks' pregnant. What recommendations would the nurse make to the client to address the known cardiac problems for this pregnancy? Select all that apply. Continue taking the scheduled warfarin. Receive pneumococcal and influenza vaccines. Plan periods of rest into the workday. Let the physician know if you become short of breath or have a nighttime cough. Increase the amount of sodium in your diet to compensate for the expanding fluid needs of the fetus.

Receive pneumococcal and influenza vaccines. Plan periods of rest into the workday. Let the physician know if you become short of breath or have a nighttime cough.

14. A nurse is providing education to a woman at 28 weeks' gestation who has tested positive for gestational diabetes mellitus (GDM). What would be important for the nurse to include in the client teaching? Her baby is at increased risk for type 1 diabetes mellitus. She is at increased risk for type 1 diabetes mellitus after her baby is born. She is at increased risk for type 2 diabetes mellitus after her baby is born. Her baby is at increased risk for neonatal diabetes mellitus.

She is at increased risk for type 2 diabetes mellitus after her baby is born.

6. A woman arrives at the prenatal clinic and is accompanied by her partner. Which behaviors would be suggestive of intimate partner violence (IPV)? Select all that apply. The client asks questions of the nurse about her pregnancy. The pregnant client looks at the examiner when asked questions. The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low-birth-weight infant

The partner answers questions for the pregnant client. The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low-birth-weight infant

9. A client who is 10 weeks' pregnant reports during a social assessment interview that she has two indoor cats, lives alone, fixes her own meals and enjoys gardening. What precautions would the nurse recommend the woman take to prevent the possibility of contracting toxoplasmosis? Select all that apply. Receive the vaccination as soon as possible to prevent contracting the disease. Use gloves when planting her vegetable garden. Make sure meats are cooked to 152°F (66.7℃) do not eat raw or rare meats. Hire someone to empty the litter box in the house. Wash all fruits and vegetables in hot, soapy water before eating.

Use gloves when planting her vegetable garden. Make sure meats are cooked to 152°F (66.7℃) do not eat raw or rare meats. Hire someone to empty the litter box in the house.