A couple is at the clinic for preconceptual counseling. Both parents are 40 years old
The nurse knows that the education session has been successful when the wife makes which statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "We are at low risk for having a baby with Down syndrome."
2. "Our children are more likely to have genetic defects."
3. "Children born to parents this age have sex-linked disorders."
4. "The tests for genetic defects can be done early in pregnancy."
5. "It will be almost impossible for us to conceive a child."
2, 4
Explanation: 2. Women 35 or older are at greater risk for having children with chromosome abnormalities.
4. Genetic testing such as amniocentesis and chorionic villus sampling are done in the first trimester.
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The nurse working in a Planned Parenthood clinic admits a woman who requests a pregnancy test. While waiting for the results, the client asks the nurse, "If I'm pregnant, the father could be either of two men I've been seeing
Can you tell me what day I got pregnant if you know how far along I am, so I can figure out who the father is?" The nurse's best response is: 1. "Women usually ovulate on the 11-14th day, with the first day of your period being day one. However, every woman is different, so there is no way to know what day you ovulated or became pregnant." 2. "Women usually ovulate on the 14-18th day, with the last day of your period being day one. However, every woman is different, so there is no way to know what day you ovulated or became pregnant" 3. "Women usually ovulate on the 14-18th day, with the first day of your period being day one. However, every woman is different, so there is no way to know what day you ovulated or became pregnant" 4. "Women usually ovulate on the 11-14th day, with the last day of your period being day one. However, every woman is different, so there is no way to know what day you ovulated or became pregnant"
A patient is admitted to the cardiac unit with a diagnosis of a myocardial infarction (MI). The nurse notes that the patient is having regular premature ventricular contractions (PVCs). Why would the nurse be concerned?
A) Blood is not efficiently pumped from the heart with PVCs. B) Healing of the myocardium will be disrupted. C) PVCs usually cause severe pain. D) PVCs make it difficult to make a definitive diagnosis.
A client is seeking care for weight gain and foamy, dark urine. During data collection, the nurse learns that the client was ill with a severe sore throat 4 weeks ago and was treated
Which of the following statements by the client suggests a teaching plan by the nurse? 1. "I have been trying to get plenty of rest since I have been sick.". 2. "I felt better after one week of the antibiotics, so I stopped taking them.". 3. "I have changed to a more nutritious diet.". 4. "I have gained weight in the last two weeks.".
Your client has a degree in accounting and worked as an accountant prior to getting married and having children. She has recently been widowed and is now a single parent who has to return to the workforce after 15 years as a mother and housewife
She is diagnosed with generalized anxiety disorder. Autonomous generalist nursing interventions MOST appropriate for her would include: a. conducting individual psychotherapy b. administering antianxiety medications prn c. teaching her about her newly prescribed antianxiety medications d. conducting exposure therapy