A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0. The nurse knows that this woman's total recommended weight gain during pregnancy should be at least:
a. 20 kg (44 lb). c. 12.5 kg (27.5 lb).
b. 16 kg (35 lb). d. 10 kg (22 lb).
ANS: C
This woman has a normal BMI and should gain 11.5 to 16 kg during pregnancy. A weight gain of 20 kg would be unhealthy for most women. A weight gain 35 lb is the high end of the range of weight this woman should gain in her pregnancy. A weight gain of 22 lb would be appropriate for an obese woman.
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The difference between pathologic jaundice and physiologic jaundice is that pathologic jaundice:
a. usually results in kernicterus. b. appears during the first 24 hours of life. c. results from breakdown of excessive erythrocytes not needed after birth. d. begins on the head and progresses down the body.
A patient prescribed donepezil (Aricept) is to
have surgery requiring general anesthesia. Her husband tells you that he read that taking this drug while having surgery can be dangerous. What is your best response? a. "Because of the action of donepezil, she may awaken more slowly and may need to remain in the postanesthesia care unit for a longer period of time." b. "Let me contact your surgeon because the danger of taking donepezil and having general anesthesia is that she may have a massive heart attack." c. "I don't think there is any danger because if there was your surgeon would certainly have discontinued use of this drug until after the surgery." d. "The most dangerous risk is that after the surgery your wife may lose her ability to swallow and aspirate food or medications, ending up with aspiration pneumonia."
Before administering digoxin or a related cardiac glycoside, the nurse should:
a. palpate and count the radial pulse for 15 seconds and multiply by 4. b. check the client's previously recorded vital signs. c. check the client's capillary serum digoxin level. d. auscultate and count the apical pulse for 1 minute.
A client has a spinal cord injury at the cervical spine area. The nurse realizes that this injury will affect which aspect of urinary elimination in the client?
1. Elimination of urine from the bladder. 2. Kidney's ability to absorb solutes. 3. Ureteral function. 4. Urethra function.