The nurse is designing a plan of care for a pregnant patient with inflammatory bowel disease. What should be included in this patient's plan? (Select all that apply.)
A) Instruct on the need for early cesarean birth.
B) Carefully measure the patient's weight with each prenatal visit.
C) Suggest fluids and oral food intake be restricted to rest the bowel.
D) Explain the need for gamma globulin injections during the last trimester.
E) Ensure that the patient is taking anti-inflammatory medication as prescribed.
B, E
Feedback:
Because of the potential difficulty with absorbing nutrients, the pregnant patient with inflammatory bowel disease needs careful monitoring for weight gain during pregnancy. Anti-inflammatory medication may be continued during pregnancy without fetal injury. The patient does not need a cesarean birth for this health problem. Foods and fluids should not be restricted because the patient has difficulty absorbing nutrients anyway. Gamma globulin injections are not indicated for this disorder
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