The nurse is providing care to a patient who was just admitted to the labor and birth unit in active labor at term. The patient informed the nurse that she has not received any prenatal care because "I cannot afford to go to the doctor
And, this is my third baby, so I know what to expect." What is the nurse's primary concern when developing the patient's plan of care?
a. Low birth weight
b. Oligohydramnios
c. Gestational diabetes
d. Gestational hypertension
ANS: A
Because of adverse living conditions, poor health care, and poor nutrition, infants born to low-income women are more likely to begin life with problems such as low birth weight. Oligohydramnios is too little amniotic fluid and is not directly correlated with poverty. Gestational diabetes and gestational hypertension are associated with poverty but are seen during pregnancy. This client is in active labor and the primary concern is the fetus.
You might also like to view...
The nurse is teaching a group of students the various historical explanations of mental illness. Which statement by the students indicates understanding of the nurse's teaching regarding the era of magico-religious explanations?
1. "The insane were believed to be divinely inspired and care was generally benevolent and kindly." 2. "Mental illnesses were caused by imbalances in body humors: blood, bile, and phlegm." 3. "Mental and physical illness were the result of superhuman forces that inflicted suffering." 4. "Mental illnesses were influenced by the moon; hence, the term lunacy."
The nurse is performing patient education for a woman who will soon begin treatment of hyperlipidemia with simvastatin (Zocor). The patient has asked the nurse if there are any "bad side effects" that she should be aware of
Which of the following statements should underlie the nurse's response? A) Many patients experience gastrointestinal upset with statins, which can be partially alleviated by taking the drug with food. B) The patient may experience a dry cough, especially at night, for the first few weeks after starting to take the simvastatin. C) The patient will have to schedule regular blood work to closely monitor her kidney function for the duration of treatment. D) Most patients tolerate statins well, with minor muscle aches being among the most common adverse effects.
The nurse is reviewing the electronic health record of a patient with an empyema. What health problem in the patient's history is most likely to have caused the empyema?
A) Smoking B) Asbestosis C) Pneumonia D) Lung cancer
Niacin intake should increase during pregnancy. Which of the following foods would the nurse suggest to the client to increase her intake of niacin?
1. Fish 2. Apples 3. Broccoli 4. Lettuce