The nurse is preparing to instruct a pregnant patient with a history of tuberculosis on care needed while pregnant. What should the nurse include when teaching this patient?
A) Maintain a high vitamin C intake.
B) Maintain a high intake of calcium.
C) Be prepared to have the child by cesarean birth.
D) Avoid contracting an upper respiratory infection.
B
Feedback:
A patient who had tuberculosis earlier in life must be especially careful to maintain an adequate level of calcium during pregnancy to ensure the calcium tuberculosis pockets in the lungs are not broken down and the disease reactivated. A high vitamin C intake is not indicated for this patient's health history. Pushing during labor might cause calcified tuberculosis pockets in the lungs to break, but this does not mean that all patients with a history of tuberculosis have to have cesarean deliveries. All pregnant patients should be instructed to avoid upper respiratory infections.
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