The nurse caring for a pregnant patient knows that her health teaching regarding fetal circulation has been effective when the patient reports that she has been sleeping:
a. In a side-lying position.
b. On her back with a pillow under her knees.
c. With the head of the bed elevated.
d. On her abdomen.
A
Feedback
A Optimal circulation is achieved when the woman is lying at rest on her side. Decreased uterine circulation may lead to intrauterine growth restriction. Previously it was believed that the left lateral position promoted maternal cardiac output, thereby enhancing blood flow to the fetus. However, it is now known that either side-lying position enhances uteroplacental blood flow.
B If a woman lies on her back with the pressure of the uterus compressing the vena cava, blood return to the right atrium will be diminished.
C Although this position is recommended and ideal for later in pregnancy, the woman must still maintain a lateral tilt to the pelvis to avoid compression of the vena cava.
D Many women will find this position uncomfortable as pregnancy advances. Side-lying is the ideal position to promote blood flow to the fetus.
You might also like to view...
The postpartum multip is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time. The best response of the nurse is:
1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it towards the nipple to unblock that duct." 2. "Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again." 3. "Apply cold packs to any areas that feel thickened or firm in order to relieve the swelling and stasis of the milk in that area." 4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."
The nurse consistently applies guidelines for safe administration of medications during patient care. This practice is an example of the application of what ethical principle?
A) Justice B) Veracity C) Beneficence D) Paternalism
Personality characteristics cannot be discounted in the etiology of substance abuse. Which of these personality characteristics have been identified as part of the etiology of substance abuse? (Mark all that apply.)
A) Difficulty expressing feelings B) Feelings of emotional isolation C) Gregariousness D) Timidity E) Low frustration tolerance
A postpartum patient has just received a rubella vaccination. The patient demonstrates understanding of the teaching associated with administration of this vaccine when she states:
1. "I will need another vaccination in 3 months." 2. "I must avoid getting pregnant for 1 month." 3. "This will prevent me from getting chickenpox." 4. "This will protect my newborn from getting the measles."