When caring for a pregnant adolescent, the nurse emphasizes nutrition because she knows:
1. The fetus has to be kept small to permit vaginal delivery through a small pelvis
2. All teenagers have terrible food habits
3. Adolescent mothers have to be encouraged to limit weight gain
4. The young mother must meet her own growth needs as well as those of the fetus
Answer: 4. The young mother must meet her own growth needs as well as those of the fetus
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A nurse is counseling a patient with an anxiety disorder by using cognitive therapy strategies
She gives the patient a homework assignment to keep a diary in which he records the symptoms of anxiety he experiences and the events that transpired just before the onset of symptoms. What is the rationale for this strategy? a. Keep the patient intellectually occupied to prevent dwelling on physiological phenomena. b. Link symptoms with precipitating events, which provides a basis for discussion and reframing. c. Anxiety gives rise to automatic, negative thoughts that must be identified and analyzed. d. Show the patient that certain events are the likely cause of his anxiety and should be avoided.
The Visiting Nurse Association is a public voluntary agency that has which of the following characteristics? (Select all that apply.)
a. It is engaged in health teaching. b. It assists with referrals for patients to other community services. c. It frequently involves the family in the care of its own members. d. It provides nursing care in the home setting or to persons with acute and chronic diseases. e. Care includes health supervision, education, counseling, bedside care, and following physicians' orders. f. It is staffed primarily by LPN/LVNs and home health aides trained for specific tasks of personal bedside care.
The neurosurgeon orders vasopressin (Pitressin) continuous IV infusion: 0.0005 unit/kg/hr
initially, then double dose q30min to reach the desired effect, not to exceed 0.01 unit/kg/hr. Which findings would best indicate the desired effect has been achieved? Select all that apply. a. BP of 100/60 b. Glucose 90 mEq/L c. Heart rate 100 beats/min d. Serum sodium 135 mEq/L e. Urine specific gravity of 1.12
A full-term neonate who is 30 hours old has a bilirubin level of 10 mg/dL. The neonate has a yellowish tint to the skin of the face
The mother is breastfeeding her newborn. The nurse caring for this neonate would anticipate which of the following interventions?a. Phototherapyb. Feeding neonate every 2 to 3 hoursc. Switch from breastfeeding to bottle feeding d. Assess red blood cell count