Chapter 3&4 Maternal Health

a client who is pregnant for the first time attends the prenatal clinic she tells the nurse "I'm worried about gaining too much weight because I have heard that it is bad for me" how should the nurse respond

"A 25 pound weight gain is recommended but the pattern of weight gain is more important than the total amount

During a clients first visit to the prenatal clinic a nurse discusses a pregnancy diet the client states that her mother told her she should restrict her salt intake what is the nurses best response

"Because you need salt to maintain body water balance it is not restricted just eat a well-balanced diet

what should a nurse suggest to a pregnant client that might help overcome first trimester morning sickness

"Eat protein before bedtime"

Best response to a client that says "I guess I'll be having an internal examination today" at first prenatal visit

"have you ever had an internal examination done before"

a pregnant client is being prepared for a pelvic examination she states that she is always tired and feels sick to her stomach especially in the morning what is the nurses best response

"lets discuss ways to resolve these common problems"

a client at her first prenatal clinic visit is at 6 weeks gestation she asks how long she may continue to work and when she should plan to quit how should the nurse respond

"what activities does your job entail"

A client tell the nurse that the first day of her last menstrual period was July 22, 2015. What is the estimated date of delivery

April 29, 2016

2 year old son born at 40 weeks, 5 year old daughter born at 38 weeks, 7 year old twin daughter born at 35 weeks, spontaneous abortion 3 years ago at 10 weeks What is the GTPAL

G5 T2 P1 A1 L4

a nurse caring for a pregnant woman determines that she is engaging in the practice of pica why should the nurse prepare a teaching plan for this client

Inedible items are being ingested

a pregnant client with iron-deficiency anemia is prescribed iron supplements daily to increase iron absorption the nurse should suggest that the client eat foods high in what

Vitamin C

what should a nurse include in nutritional planning for a newly pregnant woman of average height weighing 145 pounds

an increase of 300 calories per day

A primigravida in her 10th week of gestation is concerned because she has read that nutrition during pregnancy is important for the growth and development of the fetus. She wants to know something about the foods she should eat. How should the nurse respond initially?

ask her what she has eaten over the last 3 days

a primigravida tells the nurse that she has morning sickness what suggestion should the nurse make to help relieved the nausea

avoid long periods without food

a pregnant women tells a nurse in the prenatal clinic that she known folic acid is the very important during pregnancy and she is taking a prescribed supplement sh asks the nurse what foods contains folic acid so she can add then to her diet in its natural form which foods should the nurse recommend

black and pinto beans, enriched bread and pasta

Nurse reads history of a neonate admitted to the nursery and discovers that the infant's mother was listed as gravida 1, para 1 before baby was born how should the nurse use the data to gather more information

consider that someone recorded the gavida and para incorrectly

why is it important for a nurse in the prenatal clinic to provide nutritional counseling to all newly pregnant women

different cultural groups favor different essential nutrients

what recommendation should a nurse give to clients who had fluid retention during pregnancy

elevate the lower extremities

during a prenatal interview at 20 weeks gestation the nurse determines that the client has a history of pica what is the most appropriate nursing action

ensure that the clients diet is nutritional adequate

A pregnant client complains of constipation which strategies should the nurse recommend select all that apply

excessive regularly, add a few tablespoons of hat bran to cereal at breakfast, plan to have a bowel movement at the same time every day

A client is concerned about gaining weight during pregnancy what should the nurse explain is the cause of the largest amount of weight gain during pregnancy

fetal growth

A nurse teaches a pregnant woman about the need to increase her intake of complete proteins which foods identified by the client indicate that the teaching is effective select all that apply

milk, eggs, cheese

a 36 year old multigravida who is at 14 weeks gestation is scheduled for an alpha-fetoprotein test. She asks the nurse "what does the alpha-fetoprotein test indicate". The nurse bases a response on the knowledge that this test can indicate an increased risk for what

neural tube defects

a pregnant adolescent at 10 weeks gestation visits the prenatal clinic for the first time the nutrition interview indicates that her dietary intake consists mainly of soft drinks, candy, french fries, and potato chips why does the nurse consider this diet inadequate

nutritional composition of the diet places her at risk for low birth weight infant

a nurse teaches a pregnant woman to avoid to lying in her back during labor what information about the result on lying in the supine position is the basis for the nurses teaching

placental perfusion is decreased

Client tells nurse she is ambivalent about continuing her pregnancy why does the nurse conclude that the client is experiencing a crisis

pregnancy is a period of change and adjustment to change

a nurse is providing dietary counseling to a client who is at 14 weeks gestation the client is a recent immigrant from Asia and the nurse explores the foods the client usually eats which foods does the nurse counsel her to avoid during pregnancy select all that apply

raw shellfish, herbal supplements, soft scrambled eggs

a client has several tests during pregnancy place the test in the order they should be performed during pregnancy

sickle cell screening, alpha-fetoprotein testing for neural tube defects, routine ultrasound, serum glucose for gestational diabetes, group B streptococcus culture

a client who is visiting the prenatal clinic for the first time has a serology test for toxoplasmosis what information in the clients history indicates to the nurse that there is a need for this test

taking care of a cat

A pregnant client ask about how smoking will affect her baby what does the nurse say

the resulting vasoconstriction affects both fetal and maternal blood vessels

when discussing dietary needs during pregnancy a client tells the nurse "I do not to drink milk because it makes me constipated" what should the nurse recommend

treat constipation in some way other than omitting milk

During her first visit to the prenatal clinic it is determined that the client is obese during the ensuring 5 months the client has not been successful in adhering to the nutritional plan which finding indicates to the nurse that she has been successful during the sixth month

weight gin of 2 pounds

A nurse suspects domestic violence which assessments support this suspicion

women has injuries to the breasts and abdomen, partner answer questions that are asked of the women, women has visited the clinic several times in the last month