A client with a history of relapsing-remitting multiple sclerosis (MS) is expecting her first child. What would be indicated for this client?
A) Suggest reproductive counseling.
B) Instruct to expect a period of remission after delivery of the baby.
C) Instruct to expect an exacerbation of symptoms while pregnant.
D) Discuss pain control during labor, as contractions will be severe.
Answer: A
A definite genetic factor has not been established; however, studies suggest that genetic factors make some individuals more susceptible to the disorder than others. Reproductive counseling would be recommended for this client. Pregnancy often brings about remission of multiple sclerosis, but with a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with multiple sclerosis is not severe, and because clients often have lessened sensation, labor may be almost painless.
You might also like to view...
The ANA's proposal for entry level for professional practice initiated debate among nurses. Which of the following would be at greatest risk if the ANA proposal were implemented?
A) An RN with a BSN who is a staff nurse B) An RN with a diploma who works overtime C) An RN with an associate degree who has a head nurse position D) An RN with an associate degree who is currently in school
What abnormality of the male genitalia is this most likely to be?
A 45-year-old electrical engineer presents to your clinic, complaining of spots on his scrotum. He first noticed the spots several months ago, and they have gotten bigger. He denies any pain with urination or with sexual intercourse. He has had no fever, night sweats, weight gain, or weight loss. His past medical history consists of a vasectomy 10 years ago and mild obesity. He is on medication for hyperlipidemia. He denies any tobacco or illegal drug use and drinks alcohol socially. His mother has Alzheimer's disease and his father died of leukemia. On examination he appears relaxed and has unremarkable vital signs. On visualization of his penis, he is circumcised and has no lesions on his penis. Visualization of his scrotum shows three yellow nodules 2–3 millimeters in diameter. During palpation they are firm and nontender. A) Condylomata acuminata B) Syphilitic chancre C) Peyronie's disease D) Epidermoid cysts
A Chinese woman who is 16 weeks pregnant reports to the nurse that ginseng and bamboo leaves help to reduce her anxiety. How should the nurse respond to this client?
A. Advise the client to avoid the use of all herbs. B. Assess the amount and frequency with which the client is using the remedy. C. Tell the client that her remedies have no scientific foundation. D. Assess where the client obtains her remedy, and investigate the source.
A nursing instructor is preparing a class discussion about major depression. Which of the following would the instructor expect to include?
A) Depression in children is manifested in the same manner as in adults. B) The risk for suicide is especially high during the mid-adolescent years. C) Response to treatment in older adults is slower than that for younger adults. D) People older than age 65 years have the lowest suicide rates of any age group. E) Episodes of depression tend to occur more frequently over time. F) Depressive disorders are most often treated in the primary care setting.