An 18-year-old woman comes to the obstetrician's office and is informed that she is 6 weeks pregnant. Which statement by the woman is the nurse most concerned about?
a. "I eat a pretty healthy diet with lots of fruits and vegetables, so I think I'm okay with my diet."
b. "With my current job, I won't be able to keep up with prenatal visits so I will read some books on prenatal care."
c. "Is it too early to think about babysitting arrangements or should I start looking now?"
d. "Some people may think I am too young to be a mother. What do you think?"
B
One of the most important nursing interventions for promoting maternal and fetal health is to facilitate and teach the importance of early and continuing prenatal care. Early prenatal care can identify complications of pregnancy, prevent some of the effects of maternal disease such as diabetes, and provide an opportunity for patient education. Reading material can be an adjunct to prenatal care; however, this will not allow for maternal and fetal assessments. Prenatal visits can also be the time for the mother to discuss work arrangements as well as babysitting arrangements.
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The perinatal nurse suggests that a laboring woman may wish to use the birth ball. The patient questions the rationale for this suggestion. The best answer by the nurse is that use of the birth ball will facilitate what action?
A. Decreased maternal anxiety B. Decreased transmission of pain C. Fetal descent D. Increased number of opioid receptors
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a. Instruct the wife to increase his daily physical activity. b. Collaborate with the health care provider to administer a hypnotic medication. c. Teach the wife how to apply a vest re-straint during sleep. d. Help the wife plan daily periods for nap-ping and activity.
When prompting a client to select foods from the base of the MyPyramid, the nurse is encouraging the client to choose:
1. fruits. 2. vegetables. 3. meats. 4. grains.
A client with chronic bronchitis has the following nursing diagnosis listed on the care plan: Ineffective Airway Clearance related to inadequate cough and excess mucous production
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