A patient presents to the antepartum clinic with a history of a 20-pound weight loss. Her pregnancy test is positive. She is concerned about gaining the weight back, and asks the nurse if she can remain on her diet
The nurse's best response would be: 1. "As long as you supplement your diet with the prenatal vitamin, the amount of weight you gain in pregnancy is not significant."
2. "I understand that gaining weight after such an accomplishment must not look attractive, but weight gain during pregnancy is important for proper fetal growth."
3. "Dieting during pregnancy is considered child neglect."
4. "Excessive weight gain in pregnancy is due to water retention, so weight loss following birth will not be an issue."
2
Rationale 1: Supplementation with vitamins is important, but so is maintaining weight gain within the expected parameters.
Rationale 2: Good nutrition is essential for the health and well-being of the mother and the fetus. Adequate weight gain is an indicator of adequate nutrition.
Rationale 3: Child neglect can apply only after the child has been born.
Rationale 4: Weight gain during pregnancy typically is not water-related except with disease processes. Excess weight gain can be difficult to lose.
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A 67-year-old patient states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for approximately 2 minutes; then he is able to resume his activities
The nurse interprets that this patient is most likely experiencing: a. Claudication. b. Sore muscles. c. Muscle cramps. d. Venous insufficiency.
A non-stress test in which there are two or more fetal heart rate accelerations of 15 or more beats/min with fetal movement in a 20-minute period is termed:
a. Nonreactive. b. Positive. c. Negative. d. Reactive.
A client with carcinoma of the head of the pancreas requires surgery. Which of the following should a nurse administer to the client before surgery?
A) Fruits B) Vitamin K C) Vitamin B D) Oral bile acids
When planning nursing care for a patient with a stroke, the nurse should consider which primary goal of medical management?
1. Restoration of cerebral blood flow and limiting the size of the infarcted area of the brain 2. Keeping the blood pressure under control pharmacologically 3. Transferring the patient for rehabilitation as soon as medically stable 4. Reestablishing blood flow to the infarcted area surgically