The nurse is preparing a brochure for couples considering pregnancy after the age of 35. Which statements should be included? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. There is a decreased risk of Down syndrome.
2. Preexisting medical conditions can complicate pregnancy.
3. Very preterm births are more common.
4. Amniocentesis can be performed to detect genetic anomalies.
5. Gestational diabetes is no longer a risk.
2,3,4
Rationale 1: Risk of Down syndrome risk increases when maternal age exceeds 34 years.
Rationale 2: The older a woman is, the more likely she is to have developed chronic healthcare issues such as type 2 diabetes or hypertension. The presence of chronic conditions can further complicate pregnancy in women over 35.
Rationale 3: Very preterm births and low birth weight are more common in pregnancy of women over 35.
Rationale 4: Amniocentesis is offered to women over 35 due to the increased risk of trisomy 18 and 21.
Rationale 5: The older a patient is during pregnancy, the greater her risk of developing gestational diabetes.
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A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, "Why am I receiving codeine? I don't have any pain." The nurse's response is based on knowledge that codeine also has what effect?
a. Immunostimulant b. Antitussive c. Antiinfective d. Immunosuppressant
The nurse is providing care to a patient who is experiencing acute pain with nausea and vomiting. Which term will the nurse use when documenting this patient's pain in the medical record?
1) Referred pain 2) Visceral pain 3) Neuropathic pain 4) Complex regional pain
A 54-year-old critically ill patient with sepsis is frequently incontinent of watery stools. What action by the nurse will prevent complications associated with ongoing incontinence?
a. Apply incontinence briefs. b. Use a fecal management system c. Insert a rectal tube with a drainage bag. d. Assist the patient to a commode frequently.
Phenomenology is a substantive theory
A) True B) False