maternity, Lowdermilk, ch 14

The nurse advises the woman who wants to have a nurse-midwife provide obstetric care that: 1 She will have to give birth at home 2 She must see an obstetrician as well as the midwife during pregnancy 3 She will not be able to have epidural analgesia for labor pain Correct 4 She must be having a low risk pregnancy

4 She must be having a low risk pregnancy Midwives usually see low-risk obstetric clients. Care is often noninterventional, with active involvement from the woman and her family. Nurse-midwives must refer clients to physicians for complications. Most nurse-midwife births are managed in hospitals or birth centers; a few may be managed in the home. Nurse-midwives may practice with physicians or independently with an arrangement for physician backup. They must refer clients to physicians for complications. Care in a midwifery model is noninterventional, and the woman and family usually are encouraged to be active participants in the care. This does not imply that medications for pain control are prohibited.

vaccines that can be administered in pregnancy include__

-T dAP (tetanus, diptheria and pertussis) -hep B -inactivated influenza

common problems when adolescents are pregnant

-inadequate prenatal care -more likely to smoke -less likely to gain adequate weight -babies at risk for low birth rates, long-term disability, death in the first year

what are some potential complications that can occur in 2nd/3d trimester that we can teach client about as anticipatory guidance?

-persistent severe vomiting (hypermesis gravidarium, hypertension or preeclampsia) -sudden discharge of fluid (PPROM) -severe backache (preterm labor or kidney stone) -change in fetal movements -visual disturbance (hypertension/preeclampsia) -swelling of face/fingers (hypertension/ preeclampsia) -severe or frequent headaches (hypertension/ preeclampsia) -muscular irritability/ convulsions (hypertension/ preeclampsia) -epigastric or abdominal pain (hypertension/ preeclampsia)

what are some potential complications that can occur in 1st trimester that we can teach client about as anticipatory guidance?

-severe vomiting (hyperemesis gravidarum) -chills, fever (infection) -abdominal cramping (miscarriage or ectopic pregnancy)

cigarette smoking is associated with

-IUGR -preterm labor -PROM -placenta abruption and previa

second trimester lasts form wks

14-26

1 hour glucose tolerance test is done when?

24-28 wks

the first step in adapting to the maternal role is

accepting the idea of pregnancy

rapid and unpredictable changes in mood

emotional liability

what does a hemoglobin electrophoresis test for?

tests for hemoglobinopathies such as sickle cell anemia or thalassemia

The nurse is caring for a pregnant client who is diagnosed with a urinary tract infection (UTI). Which symptoms of a UTI does the nurse expect to find in the client? Select all that apply. 1 Dysuria 2 Dribbling 3 Hematuria 4 Urinary frequency 5 Odor of vaginal discharge

1 Dysuria 2 Dribbling 3 Hematuria 4 Urinary frequency Lower urinary tract infections occur because of physiologic changes during pregnancy. Dysuria, or painful urination, may be caused by acidic pH of the urine due to infection. Urine may dribble, because the infection may cause impaired function of the urethral sphincter. The urine may contain red blood cells, leading to hematuria. Impaired urethral sphincter and irritation of the bladder mucosa may lead to increased urinary frequency. A vaginal infection would produce a foul odor in vaginal discharge.

The nurse is assessing a pregnant client. The nurse finds that the client's estimated date of birth (EDB) is December 2, 2015. What would be the client's first day of the last menstrual period (LMP)? 1 February 25, 2015 2 March 25, 2015 3 February 2, 2015 4 March 2, 2014

1 February 25, 2015 Nägele's rule estimates the birth date by adding 7 days to the client's LMP and counting forward by 9 months, so the client's LMP is estimated by subtracting 7 days and 9 months from the EDB. Thus, the client's LMP would be February 25, 2015. If the client LMP is March 25, 2015, the EDB would be January 2, 2015. If the client's LMP is February 2, 2015, then the EDB would be November 9, 2015. If the client's LMP is March 2, 2014, then the EDB would be December 9, 2014.

The nurse is assessing the transvaginal ultrasound report of a pregnant client. After assessment, the nurse instructs the client to avoid air travel. What will this instruction prevent? 1 Preterm labor in the client 2 Supine hypotension 3 Peripartum hemorrhage 4 Gestational hypertension

1 Preterm labor in the client Transvaginal ultrasound is performed to determine the cervical length of a pregnant client. When the cervical length is found to be short, the client is at risk of preterm labor, and clients at risk of preterm labor are advised to avoid air travel. To prevent supine hypotension, the pregnant client should be instructed on maintaining side-lying or semisitting postures. Avoiding air travel does not prevent supine hypotension. Peripartum hemorrhage occurs during delivery and cannot be prevented by avoiding air travel. Gestational hypertension is a pregnancy complication that is not affected by air travel.

Which behavior indicates that a woman is "seeking safe passage" for herself and her infant? 1 She keeps all prenatal appointments. 2 She "eats for two." 3 She drives her car slowly. 4 She wears only low-heeled shoes

1 She keeps all prenatal appointments. The goal of prenatal care is to foster a safe birth for the infant and mother. Keeping all prenatal appointments is a good indication that the woman is indeed seeking "safe passage." Although eating properly is a healthy measure that all mothers can take, obtaining prenatal care is the optimal method for providing safety for both mother and baby. Although driving carefully is important at any time, obtaining prenatal care is the optimal method for providing safety for both mother and baby. Using proper body mechanics and wearing appropriate footwear during pregnancy are healthy measures that all pregnant women should take.

A client in the first trimester of pregnancy reports feelings of ambivalence. How does the nurse react to this finding? 1 The nurse understands it as a normal response during pregnancy. 2 The nurse refers the client to a support group. 3 The nurse understands that it may be due to a psychologic complication. 4 The nurse reports it to the primary health care provider

1 The nurse understands it as a normal response during pregnancy Ambivalence is the phenomenon of having conflicting feelings simultaneously. This is a normal response observed in people preparing for a new role, such as parenthood. It is not necessary to refer the client to a support group, because her response is normal. The client's ambivalence is not due to any physiologic complication. This is not a condition that needs immediate medical supervision.

What are some safety measures to take while pregnant? Select all that apply. 1 Use correct body mechanics. 2 Avoid travel to high-altitude regions above 1000 feet. 3 Perform activities requiring coordination, balance, and concentration. 4 Take rest periods; reschedule daily activities to meet rest and relaxation needs. 5 Avoid environmental teratogens, such as cleaning agents, paints, sprays, herbicides, and pesticides. 6 Use safety features on tools and vehicles (e.g., safety seat belts, shoulder harnesses, headrests, goggles, helmets) as specified

1 Use correct body mechanics. 4 Take rest periods; reschedule daily activities to meet rest and relaxation needs. 5 Avoid environmental teratogens, such as cleaning agents, paints, sprays, herbicides, and pesticides. 6 Use safety features on tools and vehicles (e.g., safety seat belts, shoulder harnesses, headrests, goggles, helmets) as specified Safety measures to take while pregnant include the following: use correct body mechanics; avoid travel to high-altitude regions above 12,000 feet (not 1000 feet); avoid (not perform) activities requiring coordination, balance, and concentration; take rest periods and reschedule daily activities to meet rest and relaxation needs; avoid environmental teratogens, such as cleaning agents, paints, sprays, herbicides, and pesticides; and use safety features on tools and vehicles (e.g., safety seat belts, shoulder harnesses, headrests, goggles, helmets) as specified.

the first trimaster lasts from wks

1-13

emotional attachment to the baby happens in three phases

1. accepts the biological fact of pregnancy "I am pregnant" 2. accept the growing fetus as distinct from herself "I am going to have a baby" 3. prepares for birth and parenting "I am going to be a mother"

prenatal visit schedule

1. first visit within the first trimester 2 every 4 wks from 16-28 wks 3. every 2 wks from 29-36 wks 4. weekly visits from 36 wks to birth

dads go through three phases of becoming a parent

1.announcement phase. react to the confirmation of pregnancy 2. moratorium phase. he adjusts to the reality of pregnancy 3. focusing phase. dad's active involvement in pregnancy and the baby

in measuring the fundal height, between what weeks is the height of the fundus in cm the same as the number of weeks gestation +/- 2 cm (if her bladder is emptied)

18-30

The nurse is teaching a group of pregnant women about using imagery as a relaxation technique. Which advice should be included to explain passive imagery? 1 "Imagine that you are standing on a hill top." 2 "Imagine a serene sea beach with white sand." 3 "Imagine the feel of river water on your hands." 4 "Imagine that you are cycling through the green countryside.

2 "Imagine a serene sea beach with white sand." Passive imagery and active imagery are techniques of maintaining continuous relaxation. Imagining any passive activity, such as watching a scene or a movie, is a part of passive imagery. Imagining doing an activity is a part of active imagery. Imagining standing on a hill top, or feeling the river water on hands or cycling through the countryside are examples of active imagery.

A client in the first trimester of pregnancy tells the nurse, "I urinate frequently and am not able to hold urine even for a short time." What would the nurse suggest to ease the client's discomfort? 1 "Eat dry carbohydrates." 2 "Perform Kegel exercises." 3 "Apply local heat or ice." 4 "Get back rubs regularly."

2 "Perform Kegel exercises. During the first trimester of pregnancy, clients may have various discomforts such as urgent urination. Kegel exercises help strengthen the pelvic floor muscles and thus are helpful decreasing urinary urgency. Dry carbohydrates are included in the diet to suppress vomiting in pregnant women, but they have no effect on urinary urgency. Headache is also a common discomfort in a pregnant client. Massage and hot and cold application help relieve this pain. Backache during pregnancy can be eased by giving back rubs to a pregnant client.

A woman who is 32 weeks pregnant is informed by the nurse that a danger sign of pregnancy could be what? 1 Constipation 2 Alteration in the pattern of fetal movement 3 Heart palpitations 4 Edema in the ankles and feet at the end of the day

2 Alteration in the pattern of fetal movement An alteration in the pattern or amount of fetal movement may indicate fetal jeopardy. Constipation is a normal discomfort of pregnancy that occurs in the second and third trimesters. Heart palpitations are a normal change related to pregnancy. These is most likely to occur during the second and third trimesters. As the pregnancy progresses, edema in the ankles and feet at the end of the day is not uncommon.

The nurse is assessing a pregnant client who is in the second trimester. The client tells the nurse, "My body shook for a while when I was sitting on my couch." What laboratory parameter would the nurse monitor? 1 Blood glucose levels 2 Blood pressure 3 Complete blood cell count 4 Electroencephalogram (EEG

2 Blood pressure The pregnant client may experience mild convulsions caused by elevated blood pressure. Therefore, the nurse should monitor the client's blood pressure. Fluctuations in blood glucose levels may cause hyperglycemia or hypoglycemia during pregnancy; these fluctuations do not cause seizures. The complete blood cell count is used to determine the presence of infection and anemia. These conditions are not known to cause seizures. EEG is used to determine brain functioning in clients with chronic seizures. It is not necessary in this case. The assumption here is that "shook" qualifies as a seizure but this is unclear. A patient can have high or low blood sugar and this could lead to "tremors" and/or "shaking" type behavior.

In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware of what? 1 Nonacceptance of the pregnancy very often equates to rejection of the child. 2 Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes. 3 Ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers. 4 Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth

2 Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes. Mood swings are natural and are likely to affect every woman to some degree. A woman may dislike being pregnant, refuse to accept it, and still love and accept the child. Ambivalent feelings about pregnancy are normal for mature or immature women, young or older women. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need to be resolved, because after birth, not all conflicts will resolve naturally.

The nurse is assessing a pregnant client who has undergone bariatric surgery in the past. What will the nurse primarily check in the client's health records? 1 Family history 2 Nutritional status 3 Blood glucose levels 4 Blood pressure

2 Nutritional status Clients who have undergone bariatric surgery are at a high risk of impaired nutrition, so the nurse should regularly monitor the client's nutritional status. The client's family history is considered to rule out the risk of congenital anomalies in the fetus, which is not necessary in this case. Blood glucose levels are monitored if the client is at high risk of developing gestational diabetes during the first or last trimester. Blood pressure levels are usually monitored in the pregnant client during regular visits to assess the risk of gestational hypertension.

The nurse is assessing the fundal height of a pregnant client. During the assessment, the nurse observes that the client has difficulty breathing and is sweating profusely. After recording the heart rate and blood pressure of the client, the nurse changes the client's position. What is the rationale for this nursing intervention? The client has: 1 Excess body weight. 2 Supine hypotension. 3 Gestational hypertension. 4 Respiratory tract infection

2 Supine hypotension. While the nurse measures the fundal height, a client lies on her back. In this position, the abdominal contents may compress the vena cava or the aorta, thus causing supine hypotension. Supine hypotension is characterized by symptoms such as sweating, difficulty breathing, and tachycardia. The nurse would position the client in the lateral position until the symptoms subside. Supine hypotension may be observed in any pregnant client and it does not indicate that the client is overweight. In gestational hypertension, the client's blood pressure is elevated and is not affected by the client's position. The breathlessness developed in this condition is not caused by a respiratory tract infection. Respiratory tract infections are characterized by other signs such as fever and cough.

While assisting the primary health care provider, the nurse documents the subjective symptoms of pregnancy in a client. Which subjective symptom does the nurse record based on the client's statement? 1 Vaginal changes 2 Urinary frequency 3 Breast enlargement 4 Abdominal enlargement

2 Urinary frequency Subjective symptoms are symptoms that can be reported by the client. Subjective symptoms of pregnancy include urinary frequency, nausea and vomiting, and fatigue. Vaginal changes, breast enlargement, and abdominal enlargement are objective signs, which can be observed.

the third trimester lasts from wks

27-40

A pregnant client complains of constipation. While checking the client's history, the nurse learns that the client is taking oral iron supplements. What instruction does the nurse give the client to relieve constipation? 1 "Drink mineral oil before going to bed." 2 "Take a stool softener before going to bed." 3 "Drink six to eight glasses of water every day." 4 "Discontinue taking iron supplements."

3 "Drink six to eight glasses of water every day." Because of their reduced gastrointestinal tract motility and intestinal compression, constipation is a common complaint among pregnant women. Gastrointestinal motility is reduced by changes in progesterone levels, which increase reabsorption of water. This in turn leads to the drying of stools, or constipation. Therefore, the nurse should instruct the client to drink six to eight glasses of water every day. During pregnancy, the nurse should not instruct the client to take mineral oil or stool softener, because they may be harmful to the fetus; these are prescribed only by the primary health care provider. Constipation may result from oral iron supplementation but the nurse should not instruct the client to stop taking iron supplementation, because iron supplements are essential to prevent anemia.

The nurse is caring for a pregnant client in her first trimester with imbalanced nutrition due to nausea and vomiting. What nursing interventions will help maintain appropriate nutrition in the client? Select all that apply. 1 Advise the client to rest as needed. 2 Advise the client to increase fiber in her diet. 3 Advise the client to consume small and frequent meals. 4 Advise the client to eat dry crackers first thing in the morning. 5 Advise the client to contact the primary health care provider if vomiting is severe

3 Advise the client to consume small and frequent meals. Correct 4 Advise the client to eat dry crackers first thing in the morning. Correct 5 Advise the client to contact the primary health care provider if vomiting is severe The pregnant client may eat less than her body requires in the first trimester due to nausea and vomiting. The nurse should advise the client to eat small and frequent meals to avoid nausea. Eating dry crackers first thing in the morning will help decrease the incidence of vomiting. The nurse should advise the client to contact the primary health care provider if severe vomiting occurs. The primary health care provider can help identify possible causes of hyperemesis. Resting reduces fatigue in the client. Encouraging the client to increase fiber in her diet is an intervention to avoid constipation.

The nurse is assisting the primary health care provider during a pelvic examination of a pregnant client. What does the nurse assess while performing a pelvic examination? 1 Size of the uterus 2 Height of the fundus 3 Client's knowledge of Kegel exercises 4 Tone of pelvic musculature

3 Client's knowledge of Kegel exercises Whenever a pelvic examination is being performed for a pregnant client, it is important to assess her knowledge of Kegel exercises, which help maintain the tone of pelvic musculature. The size of the uterus, the height of the fundus, and the tone of pelvic musculature are assessed by the primary health care provider during a pelvic examination.

The nurse is assessing a pregnant client and finds that the client has had spinal surgery. What does the nurse interpret from the assessment? 1 The client may have higher chances of preterm delivery. 2 Cesarean birth should be recommended for the client. 3 Epidural anesthesia is contraindicated in the client. 4 The client may have right lower quadrant pain during pregnancy

3 Epidural anesthesia is contraindicated in the client. From the assessment the nurse determines that the client has a history of spinal surgery, and epidural anesthesia can lead to severe complications in such clients. A history of spinal surgery does not cause preterm delivery or cesarean birth. If the client has had uterine surgery or extensive repair of the pelvic floor, then cesarean birth would be recommended for the client. Unlike appendicitis, spinal surgery does not cause right lower quadrant pain during pregnancy.

A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she does what? 1 Wiggles and points her toes during the cramp 2 Applies cold compresses to the affected leg 3 Extends her leg and dorsiflexes her foot during the cramp 4 Avoids weight bearing on the affected leg during the cramp

3 Extends her leg and dorsiflexes her foot during the cramp Extending the leg and dorsiflexing the foot is the appropriate relief measure for a leg cramp. Pointing toes can aggravate rather than relieve the cramp. Application of heat is recommended. Bearing weight on the affected leg can help relieve the leg cramp, so it should not be avoided.

The nurse is reviewing the symptoms of a client during her pregnancy. About which client symptom does the nurse inform the primary care provider immediately? 1 Dyspnea 2 Persistent anemia 3 Fluid leaking from the vagina 4 Imbalanced nutrition

3 Fluid leaking from the vagina Fluid leaking from the vagina indicates premature rupture of membranes. This may increase the risk of preterm birth or infection. Therefore, the primary health care provider should be notified immediately. Dyspnea is common due to increased fundal height. Persistent anemia is not a condition that requires immediate medical attention. The nurse should teach the client methods of maintaining a proper diet in case of imbalanced nutrition.

A client in the second trimester of pregnancy reports constipation. What does the nurse explain to the client as the reason for this condition? 1 Progesterone levels decrease gastric acid secretions. 2 Progesterone levels increase gastrointestinal (GI) motility in pregnant women. 3 Iron supplements may cause constipation and darkened stool. 4 Constipation is caused by inadequate carbohydrate intake.

3 Iron supplements may cause constipation and darkened stool. onstipation is generally observed during the second trimester of pregnancy due to the intake of iron supplements to decreased gastrointestinal motility. Information regarding decreased gastric acid secretions is not relevant to constipation. Increased levels of progesterone cause a decrease in GI motility in pregnant women. Constipation is generally reduced by consuming foods containing fiber rather than carbohydrates.

The nurse is reviewing the lab reports of a client who is 10 weeks pregnant and has a family history of diabetes mellitus. The nurse finds that the client's 1-hour glucose tolerance test is normal. What does the nurse advise the client? 1 Undergo a renal function test 2 Increase food intake 3 Repeat the test at 28 weeks 4 Undergo a 3-hour glucose test

3 Repeat the test at 28 weeks The pregnant client has a family history of diabetes and may be at a high risk of developing gestational diabetes. Because the initial 1-hour glucose tolerance test results are normal, the client should be advised to repeat the test again at 28 weeks of pregnancy. The client has normal blood sugar levels and is therefore unlikely to have renal complications. The client does not need to undergo a renal function test. The lab reports do not indicate that the client has any nutritional deficiencies and does not indicate a need for the client to increase her food intake. A 3-hour glucose test is conducted only for pregnant clients whose 1-hour glucose tolerance test is positive.

GBS test is done when to detect for infection?

35-37 wks

The nurse is teaching a pregnant client about body mechanics to decrease discomfort related to the lumbar curve of pregnancy. Which statement made by the client indicates the need for additional teaching? 1 "I should avoid platform shoes and high heels." 2 "I should use a pillow in the car to support my lower back area." 3 "I should change positions often if I have to stand for a long time." 4 "I should adjust my car seat such that my knees are lower than my hips.

4 "I should adjust my car seat such that my knees are lower than my hips. Pregnant clients should be taught about posture and body mechanics to restrict the lumbar curve. The car seat should be moved forward in such a way that the knees are higher than the hips. Pregnant women should avoid wearing high-heeled or platform shoes because they cause anterior tilting of the pelvis and therefore, increase the lumbar curve. A pillow should be used in the car to support the lower back area. Position should be changed often during prolonged standing to relieve weight-bearing stresses on the client's joints.

The nurse is providing exercise tips to an 18-week pregnant client. Which statement made by the client indicates the need for additional teaching? 1 "I should exercise regularly for 30 minutes at a time." 2 "I should decrease weight-bearing exercises." 3 "I should take my pulse every 15 minutes while exercising." 4 "I should lie on my back for 10 minutes after exercising."

4 "I should lie on my back for 10 minutes after exercising." After the fourth month of pregnancy, the client should not be encouraged to lie on her back. This position may cause supine hypotension due to the fetus compressing the main maternal vessels. Exercising regularly for 30 minutes at a time improves muscles and increases stamina. Weight-bearing exercises should be decreased to prevent joint injury. The client should concentrate on non-weight-bearing activities to prevent these complications. The client should take her pulse every 10 to 15 minutes to avoid risk of cardiovascular complications.

An expectant couple asks the nurse about intercourse during pregnancy and if it is safe for the baby. The nurse should tell the couple what? 1 Intercourse should be avoided if any spotting from the vagina occurs afterward 2 Intercourse is safe until the third trimester 3 Safer-sex practices should be used once the membranes rupture 4 Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present

4 Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present Uterine contractions that accompany orgasm can stimulate labor and would be problematic if the woman were at risk for or had a history of preterm labor. Some spotting can normally occur because of the increased fragility and vascularity of the cervix and vagina during pregnancy. Intercourse can continue as long as the pregnancy is progressing normally. Safer-sex practices are always recommended; rupture of the membranes may require abstaining from intercourse.

ACOG recommends limiting caffeine to

<200 mg per day

The nurse instructs a pregnant client to avoid sitting for a long time and to wear loose-fitting pants. Which pregnancy discomfort is the nurse trying to ease? 1 Constipation Correct 2 Varicose veins 3 Supine hypotension 4 Urinary tract infections

Correct 2 Varicose veins Varicose veins are observed in pregnant clients usually in the second or third trimesters. Prolonged sitting increases the blood pressure in the leg veins, causing varicose veins. Clients who spend more time sitting (e.g., at a desk job) have a high risk of developing varicose veins. Similarly, wearing tight-fitting pants can also affect the venous return and cause stasis of the blood in the veins. Constipation is another regularly observed complication during pregnancy. Increased intake of fiber and water is helpful to relieve constipation. Supine hypotension is caused when the abdominal contents compress the inferior vena cava in the supine position. This can be relieved by changing positions when sleeping. Urinary tract infections can be prevented during pregnancy by increasing the intake of water and by emptying the bladder regularly.

In which order should the developmental tasks required to achieve maternal adaptation be achieved?

The developmental tasks required to achieve maternal adaptation include: 1. accepting the pregnancy, 2. identifying with the role of mother, 3. reordering the relationships between herself and her mother and between herself and her partner, 4. establishing a relationship with the unborn child, and preparing for the birth experience. 5. The partner's emotional support is an important factor in successfully accomplishing these developmental tasks. Single women with limited support can have difficulty making this adaptation.

most prenatal care is

anticipatory guidance

Why do we immunize in pregnancy?

because moms have decreased immunity and to transfer passive immunity to the babe

assimilating the pregnant state into a woman's way of life is the process of

cognitive restructuring

dad's who experience pregnant-like symptoms

couvade syndrome

how many fetal movements in an hour is considered reassuring?

four or more

centering prenatal care is?

group prenatal care three components: health assessment, education and peer support

maternal alcoholism is associated with

high rates of miscarriage

risks associated with women older than 35

increased risk of -miscarriage, stillbirths, diabetes, hypertension, placenta previa/abruption, cesarean births, giving birth to babies that have chromosomal abnormalities, low birth weight, preterm infants and multiple gestation

increased intimate partner violence increases during pregnancy bc?

increased stress of all kinds. violence is the leading cause of miscarriage.

The nurse is assessing a client with couvade syndrome. What symptoms is the nurse likely to find? Select all that apply. 1 Nausea 2 Skin rashes 3 Sore throat 4 Weight gain 5 Persistent cough

nausea, weight gain Couvade syndrome is a condition in which men experience pregnancy-like symptoms, such as nausea, weight gain, and other physical symptoms. During this condition some emotional and physiologic changes are observed in men. Couvade syndrome does not have any impact on the skin or throat. Therefore, the client will not have skin rashes, sore throat, or persistent cough.

do we give live vaccines (like measles, rubella, vericella or mumps) in pregnancy?

no. could be a potential teratogen.

signs/sx of supine hypotension?

pallor, dizziness, faintness, tachycardia, nausea, clammy

interventions for supine hypotension?

position woman on her side until sx subside and vital signs stabilize