Medical Conditions in Pregnancy Part II SP17

A nurse caring for a pregnant client suspected substance use during pregnancy. What is the priority nursing intervention for this client?

Obtain a urine specimen for a drug screening.

A client who is HIV-positive is in her second trimester and remains asymptomatic. She voices concern about her newborn's risk for the infection. Which statement by the nurse would be most appropriate?

"Antiretroviral medications are available to help reduce the risk of transmission."

The nurse is helping an indigent HIV-positive pregnant client set up a postdelivery care plan for her baby. What is an appropriate question or statement during that discussion?

"HIV can be passed to the baby from breastfeeding, so it's important that you give the baby formula. Formula's pretty expensive, so I'll give you some information for places you can contact if you ever need some help getting it."

A fourteen-year-old client and her parents have presented at the obstetrician's office in the second trimester; the teen had been hiding the pregnancy. The nurse is helping them develop a plan of care. What is the best thing the nurse can say to the clearly angry parents?

"I know you must be very upset and angry about your daughter's pregnancy, but because she's still an adolescent herself, she'll need your guidance in making nutritional and health choices that will be good for the baby and for herself."

A nurse is caring for a pregnant woman in her third trimester. The woman is HIV positive and voices concerns about passing the infection on to her baby. What is the nurse's best response?

"If you are taking antiretroviral medications and you don't breastfeed your baby, you greatly reduce the risk of perinatal transmission of the disease."

A pregnant adolescent asks you if her boyfriend (father of the baby) can come into the examining room with her. Based on his needs, which of the following would be the best response?

"If you want him to come in."

A pregnant adolescent asks you if she should take a prepared childbirth course. Which of the following would be your best response?

"Women of any age are well advised to begin labor prepared for the event."

A woman in week 40 of her pregnancy has developed a urinary tract infection (UTI). The nurse recognizes that which of the following treatments would be safe and appropriate to use with this client? (Select all that apply.)

Amoxicillin Ampicillin Cephalosporins

A community health nurse is speaking at a local Chamber of Commerce luncheon on women's issues related to abuse. What are some of the myths about violence that she needs to address? Select all that apply.

Battering of women occur only in lower socioeconomic classes. Substance abuse causes the violence. Violence occurs to only a small percentage of women. Women provoke their partners to abuse them.

An adolescent develops hypertension of pregnancy and is confined to bed rest at home. Considering the developmental tasks of adolescence, which of the following problems is likely to worry her at this point?

Difficulty determining what kind of person she is

A young client who has just learned that she is pregnant admits that she is a frequent heroin user. Which of the following interventions would be the most effective for this client?

Refer the client to a methadone maintenance program

A mother and her 17-year-old daughter, who is in her first trimester, arrive for the daughter's first prenatal visit. The daughter will turn 18 in 2 weeks. The mother is visibly upset about her daughter's pregnancy and interrupts her daughter to answer the nurse's questions that were addressed to the daughter. The nurse says that she would like to talk with the daughter alone. The mother objects. Which of the following should the nurse mention to the mother?

The daughter is an emancipated minor and has the right to speak with the nurse confidentially

A nurse is caring for a pregnant client with asthma. Which intervention would the nurse perform first?

assessing oxygen saturation

Which condition is the most common cause of anemia in pregnancy?

iron-deficiency anemia

A pregnant woman in her 39th week of pregnancy presents to the clinic with a vaginal infection. She tests positive for chlamydia. What would this disease make her infant at risk for?

blindness

Human papillomavirus (HPV) can cause condylomata acuminata that can develop in clusters on the vulva, within the vagina, on the cervix, or around the anus. What is their risk?

block a vaginal birth

The nurse is caring for an infant born to a mother who abused cocaine during her pregnancy. The nurse would likely notice that this infant:

cries when touched.

A woman with a positive history of genital herpes is in active labor. She has small pin-point vesicles in the perineum area. Her membranes are ruptured, she is dilated 5cm, effaced 70%. The nurse should anticipate which type of birth?

cesarean

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

cocaine

A 16-year-old girl comes to the public health office and tells the nurse she is pregnant. She is afraid to tell her parents. What is important for a nurse to know in order to properly inform this girl?

community resources for the pregnant teen

A pregnant woman with sickle cell anemia comes to the emergency department in crisis. Which finding would the nurse expect? Select all that apply.

fever joint pain

When teaching a class of pregnant women about the effects of substance abuse during pregnancy, the nurse would include which effect?

low-birthweight infants

A pregnant client has tested positive for cytomegalovirus. What can this cause in the newborn?

microcephaly

The nurse is providing care to a neonate whose mother abuses heroin. Which finding would the nurse expect to assess?

sneezing

If a pregnant woman does not survive serious trauma, it may still be possible for her child to be born safely by a postmortem cesarean birth.

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