A client 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
What is the nurse's best response? 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 might 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
Explanation: 2. Maternal weight gain is an important factor in fetal growth and in infant birth weight. An adequate weight gain over time indicates an adequate caloric intake.
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A nurse is assessing an 11-month-old, and notes that the infant's height and weight are at the 5th percentile on the growth chart
Family history reveals that the infant's two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority? 1. Nutritional Intake: excessive secondary to maternal feeding patterns 2. Growth Pattern, Altered secondary to familial short stature 3. Growth Pattern, Altered related to parental anxiety 4. Constitutional Growth Delay, risk for related to decreased appetite
Which statement made by a patient with Alzheimer's disease indicates the need for additional teaching?
a. "When I have been taking donepezil for 6 weeks I should regain my memories." b. "The only way to be sure that I have Alzheimer's disease is by autopsy after I die." c. "Even with medication, eventually I will need total care to prevent complications." d. "The rivastigmine I am taking may slow down the progression of my symptoms."
When looking at evidence-based practice to support the methods used to facilitate smoking cessation, which type of evidence would be the best for the nurse to examine?
a. Scientific literature found in systematic reviews b. Double-blind randomized controlled trial c. Quasi-experimental studies d. Expert opinion
The circulating nurse is planning the care for an intraoperative client. Which statement is the expected outcome?
1. The client has no injuries from the OR equipment 2. The client ahs no post op infection 3. The client has stable vital signs during surgery 4. The client recovers from anesthesia