The nurse is presenting a prenatal class to a group of women pregnant for the first time who are all over 35 years of age. The nurse knows that the advantage of waiting until later to start a family is:
1. That the woman will have an easier labor and delivery.
2. That the baby will be at less of a risk for congenital anomalies.
3. That the woman is more likely to be financially secure.
4. That the woman will be more fertile than a younger woman would.
3
Rationale 1: The ease of labor and delivery varies from woman to woman, just as with younger mothers.
Rationale 2: Fetuses of older women have a greater risk for developing some anomalies.
Rationale 3: Single women and couples who delay childbearing until they are older tend to be well educated and financially secure.
Rationale 4: Women are less fertile as they get older.
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Which intervention should the nurse implement first to investigate this individual's health care regimen? a. Examine his health insurance coverage. b. Question the man without the wife present. c. Consult with social services about neglect. d. Analyze his glycosylated hemoglobin level.
After receiving a course of chemotherapy, a patient begins losing hair. This adverse effect of chemotherapy should be documented as:
a. Pediculosis b. Alopecia c. Dandruff d. Hirsutism
A nurse is conducting patient education on muscarinic poisoning for a group of nurses. To show that they understand what drug should be used to treat muscarinic toxicity, the participants would be correct to choose which drug?
a. Bethanechol (Urecholine) b. Pilocarpine (Pilocar) c. Acetylcholine (Miochol) d. Atropine (Sal-Tropine)
The client with adrenal hyperfunction screams at her husband, bursts into tears, and throws her water pitcher against the wall. She then tells the nurse, "I feel like I am going crazy." What is the nurse's best response?
A. "I will tell your doctor to order a psychiatric consult for you." B. "You feel this way because of your high hormone levels. The doctor can order an antianxiety drug for you." C. "You feel this way because you are frightened about having a chronic disease. Would you like me to give you information about a support group?" D. "You must learn to control your behavior. Because you disturbing others, I am going to keep the door to your room closed and restrict your visitors."