P.M. asks, "Is a vaginal examination done at every visit?" Select the best response and explain
your answer.
a. "Yes, an examination is done with each visit because it allows the examiner to note any
possible infections that may be developing."
b. "Yes, an examination is done with each visit because it offers vital information about the
status of the pregnancy."
c. "No, a vaginal examination will not be done again until you go into labor."
d. "No, vaginal examinations are not routinely done until the final weeks of your pregnancy."
d
A vaginal examination is not done after the initial visit until the final weeks of gestation because
it can stimulate contractions or cause possible infection. The vaginal examination is unnecessary
because it does not offer vital information that cannot be obtained from other sources.
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Concerning weight gain during pregnancy, maternity nurses should know that:
1. in this case, the woman's height is not a factor in determining her target weight. 2. obese women may have their health concerns, but their risk of giving birth to a child with major congenital defects is the same as that of normal weight women. 3. women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR). 4. greater than expected weight gain during pregnancy is almost always due primar-ily to overeating.
A 19-year-old college student was smoking a cigarette and drinking a cup of coffee. What effect would he expect these substances to have on how he is feeling?
a. Euphoria, with decreased fear and anxiety, and ready for a nap b. Immunity from pain, anxiety, or fear, and ready for an intimate encounter c. Ostracism because no one appreciates being very close to a smoker d. Relaxation, alertness, and readiness to study for his examinations
A nurse is preparing to administer medications to a hospitalized patient who has been taking lithium (Lithobid) for 3 days. The patient is complaining of mild nausea and abdominal bloating
The patient's lithium level is 0.8 mEq/L. What will the nurse do? a. Administer the dose and tell the patient that the side effects are temporary. b. Contact the prescriber to request an order for serum electrolytes. c. Hold the dose and notify the prescriber of the patient's lithium level. d. Request an order for amiloride (Midamor).
Lack of privacy does not affect the patient's ability to have a bowel movement.
Answer the following statement true (T) or false (F)