A couple in their late 30s are pregnant for the first time. In evaluating the care delivered, the nurse assesses whether the mother: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Makes appropriate healthcare choices.
2. Receives effective healthcare through the pregnancy.
3. Has a partner who is not interested in child care.
4. Cannot cope with her life change.
5. Wishes to have amniocentesis done.
1,2
Rationale 1: Expected outcomes of nursing care for a pregnant couple over 35 include the woman and her partner's being knowledgeable about the pregnancy and making appropriate healthcare choices.
Rationale 2: Expected outcomes of nursing care for a pregnant couple over 35 include receiving effective health care throughout the pregnancy, delivery, and postpartum period.
Rationale 3: An expected outcome of nursing care for a pregnant couple over 35 is that the woman and her partner will be able to provide child care.
Rationale 4: An expected outcome of nursing care for a pregnant couple over 35 is that the woman and her partner are able to cope with the pregnancy and its implications.
Rationale 5: Amniocentesis is a medical diagnostic tool, and is not evaluated as part of the nursing care.
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A. Antiretroviral medications (zidovudine [ZDV]) B. Cesarean delivery C. Cesarean delivery plus antiretroviral medications for the newborn D. Vaginal delivery plus antiretroviral medications for the newborn
A patient with polycystic ovary syndrome (PCOS) asks the nurse what she can do to improve her chances of getting pregnant. Which statement by the patient indicates a need for further teaching?
a. "Clomiphene will help induce ovulation but will not treat the other symptoms of polycystic ovarian disease." b. "If I lose weight, my infertility and irregular periods could resolve without medications." c. "Metformin improves insulin sensitivity and reduces male hormone levels." d. "Spironolactone, which reduces androgens and facial hair, is helpful if I'm trying to conceive."
A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful?
A) "This pressure dressing needs to stay on for 5 days from now." B) "He can't eat but he can drink fluids for the next 24 hours." C) "He should avoid taking a bath for about 3 days but he can shower." D) "It's normal if he says he feels like his heart skipped a beat."
A student nurse is beginning her community health rotation. She anticipates that her assignment in community-based health care will most likely be at which of the following organizations?
A. Acute care hospital B. Rehabilitation hospital C. Nursing home D. High school