Community - Women's Health Promotion missed questions
A client undergoes a cesarean birth because of cephalopelvic disproportion. What care is needed for this client in addition to the routine nursing care given to all postpartum clients during the first 24 hours?
*Administering the prescribed pain medication* Because of increased pain and increased flatus, clients who have cesarean births require more pain medication than do women who have vaginal births. Early ambulation is encouraged for all postpartum clients. Although this may be difficult because of the incision, palpating the fundus is a necessary part of postpartum care. Vital signs are checked routinely in all postpartum clients.
While preparing a client for her first routine Papanicolaou (Pap) smear, a nurse determines that she appears anxious. What should the nurse include as part of the teaching plan?
*Current statistics on the incidence of cervical cancer* Providing factual information decreases fear and fosters further communication. Cervical cancer is asymptomatic in the early stages. Explanation of why there is a small risk for cervical cancer offers false reassurance. At this time the client may not be able to focus on written instructions; also, the anxiety may be related to the implications of the results of the test rather than the actual procedure.
A nurse is teaching a female client about using oral contraceptives and when to report complications. What clinical findings should alert the client to stop taking the contraceptive and notify the health care provider immediately? Select all that apply.
*Headaches; Visual disturbances* Headaches, either sudden or persistent, may indicate hypertension or a cardiovascular event. Visual disorders, such as partial or complete loss of vision or double vision, may indicate neuro-ocular lesions, which are associated with the use of some oral contraceptives. Nausea is a side effect that is not life threatening; the dose may need to be adjusted or the product changed to an alternative. Weight gain, not loss, may occur because of fluid retention. Menorrhagia is less likely to occur.
During her first visit to the prenatal clinic a client is found to be obese. During the ensuing 5 months, the client has not been successful adhering to her nutritional plan. Which finding indicates to the nurse that the client has been successful during the sixth month?
*Weight gain of 2 lb* Although obese, the client must gain weight to meet the fetus's nutritional needs, and this weight gain is appropriate. Weight loss is contraindicated during pregnancy because it may interfere with fetal growth and development. Maintaining the same weight from last month to this month may indicate that the nutritional needs of the fetus are not being met. The client's statement that she lost weight last week does not constitute objective data.
