The nurse is interviewing a 20-year-old client who is 14 weeks pregnant and seeking prenatal care. She tells the nurse that she likes to eat ice and occasionally eats dirt
The nurse should anticipate which of the following laboratory studies to be ordered? 1. Folate level
2. Calcium levels
3. Plasma lead level
4. Hair analysis
3
Rationale 1: Folate level. Folate and calcium levels may not be affected by PICA.
Rationale 2: Calcium levels. Folate and calcium levels may not be affected by PICA.
Rationale 3: Plasma lead level. Lead levels should be obtained in pregnant women reporting PICA because the soil eaten can be a source of environmental contamination.
Rationale 4: Hair analysis. Hair analysis may yield information about other issues but is not appropriate given the above scenario.
You might also like to view...
A client with type 1 diabetes who has the flu calls the nurse asking what to do. The best advice by the nurse would be:
A) "Measure your blood sugar and urinary ketones every two to four hours while you are sick." B) "You should not take any insulin until you are well again." C) "You should increase your insulin dose for five days, then return to the prescribed dose." D) "You should be hospitalized whenever you have the flu in case it affects your diabetes."
A 43-year-old client has just had a positive pregnancy test. She cries, and states, "I just don't know what I'll do. I can't be pregnant." Which nursing diagnosis would be the most appropriate?
1. Decisional Conflict related to unexpected pregnancy 2. Knowledge, Deficient related to advanced maternal age 3. Depression related to unexpected pregnancy 4. Health Maintenance, Ineffective related to advanced maternal age
The person whose disability has occurred recently may express feelings of extreme anxiety, fear and disbelief that such an event has occurred in which of the following stages during adjustment in the rehabilitation process?
a. Acute disorganisation. b. Assessment. c. Mourning. d. Re-entry.
The nurse is working with a new mother who delivered yesterday. The patient has chosen to breastfeed her infant. Which demonstration of skill is the best indicator that the patient understands breastfeeding?
1. The patient puts the infant to breast when he is asleep to help wake him up. 2. The patient takes off her gown to achieve skin-to-skin contact. 3. The infant is held so that he turns his head to access the nipple. 4. The infant is crying when he is brought to the breast.