Ch15-2

A 17-year-old client arrives for an annual examination and reports no changes since the last exam; however, the nurse assesses a positive Chadwick sign, slightly enlarged uterus, and subsequent positive urine pregnancy test. Which task should the nurse prioritize to assist this client who is denying any possibility that she is pregnant?

Accepting the pregnancy Acceptance of pregnancy is multi-factorial, and how the woman responds to the pregnancy is certainly influenced by her age and if the pregnancy was planned. As a teenager, she may not have been trying to get pregnant and may not want to accept the role and experience. Baby and parenthood decisions should all occur later.

The nurse has been asked to present information to a group of civic leaders concerning women's health issues. In preparing the information, the nurse includes what goal from Healthy People 2030 related to women in labor?

Reduce the rate of cesarean births among low-risk women Healthy People 2030 includes one goal related to cesarean births in the United States, "MICH-2030-06 Reduce cesarean births among low-risk women with no prior births." Healthy People 2030 has two goals related to cesarean births in the United States. They are to reduce the rate of cesarean births among low-risk women and reduce the rate. Immunizations and genetic counseling are not associated with women in labor.

A pregnant woman tends not to eat for long periods of time because of her busy work schedule. What process safeguards her fetus from becoming hypoglycemic during this time?

Somatomammotropin helps to regulate glucose levels. Somatomammotropin makes insulin "less effective" than normal, thus decreasing its ability to produce hypoglycemia.

A pregnant client is planning a vacation to a different state and questions the nurse concerning precautions. Which suggestion should the nurse prioritize for this client who will be traveling by automobile?

Stop and walk every 2 hours. Walking increases venous return and reduces the possibility of thrombophlebitis, a risk for pregnant women who sit for extended periods of time. Limiting mileage, sitting in the back with the feet elevated, and limiting trips may help, but they are not enough to prevent phlebitis.

The nurse is planning a class for nurses learning to teach early prenatal classes. Which statement indicates that teaching has been effective?

The goal of early prenatal care is to optimize the health of the woman and the fetus. Early prenatal classes or first trimester classes include early gestational changes, self care, fetal development and environmental dangers for the fetus, sexuality, birth settings and types of providers, nutrition, rest, exercise, relief measures for discomforts, coping with stress, psychological changes for both woman and her partner, getting the pregnancy off to a good start, availability of prenatal and genetic screening, risk factors for preterm labor and other pregnancy-related conditions, and how to recognize symptoms and what to do if they occur. Although all the answers are essentially correct, optimizing the health of the woman and fetus is the best answer.

During a clinical rotation at a prenatal clinic, a client asks a nurse what causes certain birth defects. The nurse replies that they can be caused by teratogens. What does the severity of the defects depend on? Select all that apply.

When during development the conceptus is exposed to the teratogen The particular teratogen to which the fetus is exposed A teratogen is a substance that causes birth defects. The severity of the defect depends on when during development the conceptus is exposed to the teratogen and the particular teratogenic agent to which the fetus is exposed.

During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which would the nurse identify as an abnormal finding?

bruising Bruising would not be a normal finding. Evidence of bruising might suggest domestic violence. Linea nigra, striae, and darkening of the umbilicus are normal findings.

You care for a patient who has a retroverted uterus. You would explain that this means her:

entire uterus is tipped backward. Retroverted means to tip backward; retroversion means to bend backward.

One vitamin has been identified as helping to prevent neural tube defects when consumed in adequate amounts before conception through the early weeks of pregnancy. Which vitamin is it?

folic acid It is well established that daily supplements of folic acid taken prior to pregnancy decrease the risk of neural tube defects by as much as two thirds.

A patient who is in her 9th month of pregnancy comes to the emergency department and reports that bright red blood is coming from her vagina. She denies having any pain. What needs to be ruled out before a vaginal examination can be performed?

placenta previa Vaginal examinations should never be done if the woman presents with bright red painless bleeding until placenta previa is ruled out. The other options would not be concerns at this time based on the findings.