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Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second EditionChapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations; prepU£12.20
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Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second EditionChapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations; prepU
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Module
Nursing Pediatrics
Institution
Nursing Pediatrics
Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second EditionChapter 20: Nursing Management of the Pregnancy at Risk: Selected Health Conditions and Vulnerable Populations; prepU
Ricci, Kyle & Carman: Maternity and Pediatric Nursing,
Second EditionChapter 20: Nursing Management of the
Pregnancy at Risk: Selected Health Conditions and
Vulnerable Populations; prepU
A woman with a long history of controlled asthma has just had her first
antenatal visit for her fourth child. She is late for a meeting and says she
knows what to do. What is the best action the nurse can take? Correct
Answer-Acknowledge her need to leave but ask her to demonstrate the
use of her inhaler and her peak flow meter before she goes; make any
necessary corrections to her technique. Remind her to take her regular
medications.
Management of asthma during pregnancy is very important; the nurse
must document the client has the proper ability to manage her asthma for
her health and the health of the fetus. Reminding the client to continue
taking her prescribed medication to monitor her peak flow daily is not
enough. It is the nurse's responsibility to know that the client knows how
to take her medications. Monitoring the baby's kicks in the second and
third trimester is an appropriate action. Scheduling a return appointment
to discuss asthma management is not appropriate. She could have an
asthma attack between the time the nurse sees her and the time of the
return appointment. Noting in the chart that the woman was not
counseled does not relieve the nurse of her obligation to ensure that the
woman knows how to use her inhaler and her peak flow meter.
Which measure is recommended to prevent transmission of HIV to a
newborn if the mother has AIDS? Correct Answer-Prepare for cesarean
birth.
,When a client is HIV positive, the method of birth preferred is cesarean.
This method has the lowest transmission rate for passage of the HIV
infection to the infant. The nurse should educate the woman on the
standard of care for birth in an HIV- or AIDS-positive mother. Avoiding
scalp electrodes for internal fetal monitoring, admitting the infant to
NICU, and performing an amniotomy are not recommended methods for
preventing transmission of HIV to a newborn.
A nurse is talking to a newly pregnant woman who had a mitral valve
replacement in the past. Which statement by the client reveals an
understanding about the preexisting condition? Correct Answer-"I
understand that my fetus and I both are at risk for complications."
When a woman enters pregnancy with a preexisting condition, both she
and her fetus can be at risk of developing complications.
A nurse is caring for a pregnant client with heart disease in a labor unit.
Which intervention is most important in the first 48 hours postpartum?
Correct Answer-assessing for cardiac decompensation
The nurse should assess the client with heart disease for cardiac
decompensation, which is most common from 28 to 32 weeks of
gestation and in the first 48 hours postpartum. Limiting sodium intake,
inspecting the extremities for edema, and ensuring that the client
consumes a high-fiber diet are interventions during pregnancy not in the
first 48 hours postpartum.
, A nurse caring for a pregnant client suspected substance use during
pregnancy. What is the priority nursing intervention for this client?
Correct Answer-Obtain a urine specimen for a drug screening.
Substance use during pregnancy is associated with preterm labor,
abortion, low birth weight, central nervous system and fetal anomalies,
and long-term childhood developmental consequences. It is most
important to know what the client is taking in order to provide the best
care for the client and newborn.
A woman who has sickle cell anemia asks the nurse if her infant will
develop sickle cell disease. The nurse would base the answer on which
information? Correct Answer-Sickle cell anemia is recessively inherited.
Sickle cell anemia is an autosomal recessive disease requiring that the
person have two genes for the disease, one from each parent. If one
parent has the disease and the other is free of the disease and trait, the
chances of the child inheriting the disease is zero. The other options are
incorrect as they give misinformation to the client and are inappropriate
answers.
A nursing instructor is teaching students about anemia during
pregnancy. Which type of anemia does the instructor teach students is
most prevalent during pregnancy? Correct Answer-iron-deficiency
anemia
Iron-deficiency anemia is the most common type in pregnancy. Many
woman enter pregnancy with a low iron count because of poor diet,
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