411 Chapter 20

_____________ spans the time frame from the onset of puberty to the cessation of physical growth, roughly from 11 to 19 years of age

adolescence

asthma is known as reactive _________ disease

airway

a nurse is caring for a pregnant client who is HIV positive. what is a priority issue that the nurse should discuss with the client

the need for the client to avoid breast-feeding

cocaine effects on pregnancy

vasoconstriction, tachycardia, hypertension, abruptio placenta, abortion, prune belly syndrome, IUGR

a nurse is caring for a client with CVD who has just delivered. what nursing interventions should the nurse perform when caring for this client

1. assess for SOB 2. assess for edema and note any pitting 3. auscultate heart sounds for abnormalities

the nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. which instructions should the nurse give this client to prevent toxoplasmosis.

1. eat meat cooked to 160F 2. avoid cleaning the cats litter box 3. avoid outdoor activities such as gardening

what are the complications in a pregnant client with HTN

1. increased risk for developing preeclampsia 2. Decreased uteroplacental perfusion

risk factors for developing gestational diabetes

1. obesity 2. HTN 3. previous large gestational age (LGA) infant

what elements should be included during the physical examination of pregnant clients with asthma

1. rate, rhythm and depth of respirations 2. auscultation of lung sounds 3. skin color 4. blood pressure 5. pulse rate 6. evaluation for signs of fatigue

what are the factors the nurse should include in the teaching plan for a pregnant client with asthma

1. signs and symptoms of asthma progression and exacerbation 2. important and safety of medication to fetus and to herself 3. warning signs 4. prevention and avoidance of known triggers 5. home use of metered-dose inhalers 6. adverse effects of medications

how should the nurse care for a sickle cell anemia pregnant client

1. teach the client meticulous hand-washing 2. assess hydration status of the client at each visit 3. urge the client to drink 8 to 10 glasses of fluid daily

maternal use of ___________ early in a pregnant often results in fetal neural tube defects and microencephaly

cocaine

_____________diabetes of any severity increases the risk of fetal macrosomia

gestational

vaginal and rectal specimens of pregnant women may be cultured for the presence of _______________ bacterium

group b streptococcus

alcohol effects on pregnancy

growth deficiencies, facial abnormalities, CNS impairment, behavioral disorders, and abnormal intellectual development

a nurse is documenting a dietary plan for a pregnant client with pregestational diabetes. which instructions should the nurse include in the dietary plan for this client

include complex carbohydrates in the diet

the nurse is caring for a 2 day old newborn whose mother was diagnosed with cytomegalovirus during the first trimester. on which health care provider order should the nurse place priority

perform a hearing screen test

what are the effects of abuse of sedatives by the mother on her infant

sedative easily cross the placenta and cause birth defects and behavioral problems infants borns to mothers who abuse sedatives may be physically dependent on the drugs and prone to respiratory problems, feeding difficulties, disturbed sleep, sweating, irritability, and fever

caffeine effects on pregnancy

decreased iron absorption; increased risk of anemia

during the assessment of a laboring client, the nurse learns that the client has CVD. which assessment would be priority for the newborn

respiratory function

sedatives effects on pregnancy

respiratory problems, feeding difficulties, disturbed sleep

________ is a widespread parasitic infection caused by a one-celled protozoan that may result from contact with cat feces

toxoplasmosis

____________ results in reduced capacity of blood to carry oxygen to the vital organs of the mother and fetus as a result of reduced quantities of RBCs or hemoglobin

anemia

what important instruction should the nurse give a pregnant client with tuberculosis

maintain adequate hydration

narcotics effects on pregnancy

neonatal abstinence syndrome, preterm labor, intrauterine growth restriction (IUGR), and preeclampsia

____________ found in cigarettes causes vasoconstriction, transfers across the placenta, and reduces blood flow to the fetus, contributing to fetal hypoxia

nicotine

which should the nurse identify as a risk associated with anemia during pregnancy

preterm birth

a nurse is caring for a pregnant client. the initial interview reveals that the client is accustomed to drinking coffee at regular intervals. for which increased risk should the nurse make the client aware

anemia

a nurse is caring for a pregnant client with heart disease in a labor unit. which intervention is most important in the first 48 hours postpartum

assessing for cardiac decompensation

a nurse is caring for a pregnant client with asthma. which intervention would the nurse perform first

assessing oxygen saturation

what is the procedure involved in the assessment of tuberculosis in pregnant clients

if tuberculosis is suspected or the woman is at risk for developing tuberculosis, the nurse should anticipate screening with purified protein derivative administered by intradermal injection if the client has been exposed to tuberculosis, a reddened induration will appear within 72 hours. a followup chest X-ray with a lead shield over the abdomen and sputum cultures will confirm the diagnosis

a nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. which important area should the nurse address during assessment of the client

knowledge of child development

the __________ is the major site of involvement in the client with tuberculosis

lung

nicotine effects on pregnancy

reduced uteroplacental blood flow, decreased birth weight, abortion, prematurity, abruptio placenta

what characteristic of fetal alcohol spectrum disorder should the nurse assess for in the newborn

small head circumference

human placental lactose and growth hormone _____________ increase in direct correlation with the growth of placental tissue, causing insulin resistance

somatotrophin

the nurse is caring for a pregnant client who is in her 30th week of gestation and has congenital heart disease. which should the nurse recognize as a symptom of cardiac decompensation with this client

swelling of the face