In formulating a plan of care for an obese woman who is trying to conceive, the nurse should include which information?

A) It is preferred that weight loss occur prior to becoming pregnant.
B) It is safe to pursue weight loss during pregnancy.
C) Weight loss should not be pursued until after delivery of the baby.
D) Obesity will have no effect on the fetus or newborn.


A) It is preferred that weight loss occur prior to becoming pregnant.

Explanation: A) Because of the risks to both mother and fetus associated with obesity during pregnancy, it is important for overweight and obese women to have weight counseling before conception so that they can achieve weight loss before becoming pregnant. Obesity during pregnancy is associated with increased maternal and fetal risks. Furthermore, the effects of maternal obesity extend beyond the perinatal period.
B) Because of the risks to both mother and fetus associated with obesity during pregnancy, it is important for overweight and obese women to have weight counseling before conception so that they can achieve weight loss before becoming pregnant. Obesity during pregnancy is associated with increased maternal and fetal risks. Furthermore, the effects of maternal obesity extend beyond the perinatal period.
C) Because of the risks to both mother and fetus associated with obesity during pregnancy, it is important for overweight and obese women to have weight counseling before conception so that they can achieve weight loss before becoming pregnant. Obesity during pregnancy is associated with increased maternal and fetal risks. Furthermore, the effects of maternal obesity extend beyond the perinatal period.
D) Because of the risks to both mother and fetus associated with obesity during pregnancy, it is important for overweight and obese women to have weight counseling before conception so that they can achieve weight loss before becoming pregnant. Obesity during pregnancy is associated with increased maternal and fetal risks. Furthermore, the effects of maternal obesity extend beyond the perinatal period.

Nursing

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The nurse is providing care for a patient newly diagnosed with systolic heart failure (HF). What medications should the nurse anticipate administering?

A) Beta-blockers B) Calcium channel blockers C) Alpha agonists D) Angiotensin prohibiters

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A patient complains of painful urination. A physical examination reveals vesicles on her labia, vagina, and the foreskin of her clitoris. The nurse will expect to teach this patient about which medication?

a. Acyclovir [Zovirax] b. Azithromycin [Zithromax] c. Metronidazole [Flagyl] d. Tinidazole [Tindamax]

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How can a nurse encourage communication with a dying patient? (Select all that apply.)

a. Address the patient by name at every opportunity. b. Use direct questions to inquire about the patient's concerns relative to health and end-of-life issues. c. Complete care with a minimum of conversation to encourage questions from the patient. d. Provide empathetic touching during care to show concern. e. Sit down in the room to converse with the patient.

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