A nurse is counseling a client with a body mass index (BMI) of 22 who is concerned about additional weight gain during pregnancy. Which of the following approaches should the nurse take?
1. "At your current weight you should expect to see a weight gain less than 20 lbs during your pregnancy.".
2. "At your current weight you should expect to see a weight gain 15–25 lbs during your pregnancy.".
3. "At your current weight you should expect to see a weight gain 28–40 lbs during your pregnancy.".
4. "At your current weight you should expect to see a weight gain 25–35 lbs
during your pregnancy.".
4
Rationale: It is recommended that a client with a normal body mass index (BMI) gain between 25–35 lbs during her pregnancy. Inadequate maternal weight gain is a health risk, often associated with small-for-gestational age, or low-birth-weight infant. Therefore it is important to counsel clients on desired weight gain in relation to their pre-pregnancy BMI in order to assure essential fetal growth and appropriate infant birth weight. It is recommended that underweight clients (BMI less than 19.8) gain 28-40 lbs, whereas clients that are overweight (BMI 26–29) gain 15–25 lbs.
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A woman who has had a cesarean birth asks you if she will always need to have cesarean births in the future. Which of the following would be your best response?
A) "You will like cesarean birth so much that you will want repeat cesarean births in the future." B) "There is no way to predict that; it will depend on your individual uterine anatomy." C) "Yes. 'Once a cesarean always a cesarean' is a well-known rule." D) "Although there are some exceptions, surgical techniques allow for vaginal birth after cesarean birth."
A nurse in one of the following careers in community health nursing frequently teaches clients about immunizations and health issues in the community
Which of the following careers in community health nursing equates with health promotion and protection as top priorities for the nurse? A) Public health nursing B) Mental health nursing C) Disaster nursing D) Camp nursing
While performing an otoscopic examination of a patient's ear, the APRN finds white patches on the tympanic membrane. How would the APRN note this finding in the chart?
A) Tympanic membrane abnormal; white, patchy areas noted B) Tympanic membrane scarred, indicating loss of hearing C) Tympanic membrane visualized with areas of opacity noted D) Tympanic membrane within normal limits
A nurse is developing a set of practice guidelines for a clinical unit and is conducting a literature review to search for examples of criteria that will be relevant to achieving patient-care goals
The search criteria that will be most relevant are those that: a. explain their complexity in detail. b. include reduced costs as a major criterion for use. c. document preferred practices among other mental health professionals. d. provide methods and procedures that ensure safe and effective treatment.