maternity general

The perinatal client is admitted to the obstetrical unit during an exacerbation of a heart condition. When planning for the nutritional requirements of the client, the nurse should consult with the dietitian to ensure which dietary measure?

A diet that is high in fluids and fiber to decrease constipation

A client in her twenty-fourth week of pregnancy is admitted to the hospital in preterm labor. She asks the nurse if her baby will live if the labor cannot be stopped. Which diagnostic test should the nurse expect the primary health care provider to prescribe?

Amniocentesis for fetal surfactant level

While assisting with the measurement of fundal height, the client at 36 weeks' gestation states that she is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy, the nurse determines that this is most likely a result of which reason?

Answer: Compression of the vena cava Rationale: Compression of the inferior vena cava and aorta by the uterus may cause supine hypotension syndrome during pregnancy. Having the woman turn onto her left side or elevating the right buttock during fundal height measurement will prevent or correct the problem.

Immediately following the delivery of a newborn, the nurse prepares to assist in the delivery of the placenta. Which action is appropriate to deliver the placenta?

B. Instruct the mother to push during a contraction Rationale: After the placenta separates, the mother is instructed to push during a uterine contraction. Pulling on the umbilical cord or placing traction on the umbilical cord may cause it to break, making the placenta harder to deliver. The placenta is not separated from the uterine wall using forceps. This may result in bleeding.

The nurse enters a new mother's room and finds that the mother is crying and that the infant is undressed on the bed in front of the mother. The mother looks at the nurse and says, "I can't even dress this baby!" After reassuring the client, which nursing action is the most appropriate?

Have the mother place the infant in the bassinet and assist the mother in dressing the baby.

A pregnant woman reports to the health care clinic complaining of loss of appetite, weight loss, and fatigue. Following an assessment, tuberculosis is suspected. A sputum culture is obtained and identifies the Mycobacterium tuberculosis in the sputum. The nurse reinforces instructions to the client regarding therapeutic management of tuberculosis.

Isoniazid plus rifampin will be required for a total of 9 months.

After a newborn infant undergoes circumcision, which should the nurse include in the postprocedure plan of care?

Observing for bleeding and monitoring for pain

The nurse is monitoring the status of a client in active labor. The nurse interprets that which findings are consistent with dystocia?

Signs of fetal distress, High level of maternal anxiety, Failure of the fetus to descend

Two weeks following delivery, a client experiences subinvolution of the uterus. Which findings indicate subinvolution?

constant fever of 101, persistent pelvic heaviness, foul smelling discharge

A pregnant client asks the nurse about the hormone that stimulates postpartum contractions. The nurse tells the client that which primary hormone stimulates postpartum contractions?

oxytocin

The nurse is reviewing the health history of a pregnant client. Which data noted in the client's health history would indicate a risk for spontaneous abortion?

syphilis

A client who has just been told that she is pregnant asks a clinic nurse when the fetus's heart will be developed and beating. The nurse tells the client that the fetal heart is beating at what gestational week?

week 5