During a prenatal visit the nurse notes that a client entering the third trimester has gained a total of 8 lb. What action should the nurse take at this time? Select all that apply
1. Assess for nausea.
2. Refer to a dietitian.
3. Suggest amniocentesis.
4. Assess nutritional intake.
5. Discuss importance of adequate weight gain.
1, 2, 4, 5
Explanation:
1. The nurse should assess for reasons that may restrict the client's intake, such as nausea.
2. The nurse should refer the client to a dietitian for nutritional teaching.
3. An amniocentesis is not indicated at this time.
4. The nurse should discuss the importance of adequate nutritional intake.
5. The nurse should discuss the importance of adequate weight gain to support the developing fetus.
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Several hours after delivery the nurse finds a woman crying. The woman says repeatedly, "My baby is beautiful, but I was planning on a vaginal delivery
Instead I needed an emergency C-section." What is the most appropriate nursing diagnosis? a. Anxiety related to the development of postpartum complications b. Ineffective individual coping related to unfamiliarity with procedures c. Risk for ineffective parenting related to emergency cesarean section d. Grieving related to loss of expected birth experience
A patient admitted with a gastrointestinal infection tells the nurse that she started to feel sick a few days after visiting with out-of-town family. Which of the following should the nurse ask this patient?
1. Were any family members sick or recovering from a similar illness? 2. How often do you wash your hands? 3. Did you eat your meals at home or in public places? 4. Do you have a history of stomach ulcers?
A long-term care nurse is organizing a depression screening program for the residents. One of the nurse's peers questions why they need to do this, stating, "We are busy enough all ready.". What is the best response by the nurse?
1. "Studies show that as many as 43% of institutionalized elderly adults show symptoms of clinical depression. Depression symptoms are often associated with chronic illness and pain.". 2. "Studies show that as many at 63% of institutionalized elderly adults show symptoms of clinical depression. Depression symptoms are often associated with chronic illness and pain.". 3. "Depression is uncommon in elderly clients, but we need to screen all of our clients to find the few that have symptoms.". 4. "Screening our clients for various diseases will show their families that we are trying to give them the best care possible.".
A nurse has just completed a teaching session for parents about children's understanding of death. Parents of a 5-year-old child understood the teaching if they indicate which corresponds to their child's understanding of death?
a. Loss of a caretaker b. Reversible and temporary c. Permanent d. Inevitable