Introduction to maternity and pediatric nursing chapter for prenatal care in adaptions to pregnancy

Introduction To Maternity And Pediatric Nursing Chapter For Prenatal Care In Adaptions To Pregnancy A woman who is seven weeks pregnant tells the nurse that this is not her first pregnancy. She has a two year old son and had one previous spontaneous abortion. How would the nurse document the patients obstretic history using the TPALM system? Ans- Gravida 3 , para 10110 A woman calls her healthcare provider to schedule prenatal visits in an uncomplicated pregnancy. How frequently will the nurse assist the patient to schedule these appointments? Ans- Every four weeks until the seventh month, after which appointments will become more frequent During the physical examination for the first prenatal visit, it is noted that Chadwick's fine is present. What is Chadwick's sign? Ans- Bluish or purpleish discoloration of the vulva vagina and cervix After the examination is completed, the patient asked the nurse why Chadwick sign occurs during pregnancy. What would the nurse explain as the cause of Chadwick sign? Ans- Vascular congestion in the pelvic area The nurse has explained physiological changes that occur during pregnancy. Which statement indicates that the woman understands the information? Ans- My breathing will get deeper and a little faster A woman reports that her last normal menstrual period began on August 5, 2013. Using Nägele's rule, her expected date of delivery would be ? Ans- May 12, 2014 (count back 3 months from last cycle, add 7days, change year if needed) During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. How early might be the heart tones be detected with an electronic Doppler device? Ans10 weeks In a routine prenatal visit, the nurse is examining a patient who is 37 weeks pregnant notices that the fetal heart rate has dropped to 120 bpm from a rate of 160 bpm earlier in the pregnancy. What is the nurses first action? Ans- Record the rate as a normal finding A woman's pre-pregnant weight is determined to be average for her height. What will the nurse advise the woman regarding recommended weight gain during pregnancy? Ans- 25 to 35 pounds When the nurse tells a pregnant woman that she needs 1200 mg of calcium daily during pregnancy, the woman responds I don't like milk. What dietary adjustments could the nurse recommend.? Ans- Eat more green leafy vegetables A pregnant woman is experiencing nausea in the morning. What recommendations with the nurse offered to alleviate the symptoms? Ans- Have crackers handy at the bedside, and eat a few before getting out of bed A patient who is 28 weeks pregnant shows a 10 pound weight gain from two weeks ago. What is the nurses initial action? Ans- Take the blood pressure The patient remarks that she has heard some foods one hand brain development of the fetus. The nurse replies that foods high in DHA thought to enhance brain development what food can the nurse recommend. Ans- Red meats The nurse encourages adequate intake of full of acid for women of childbearing age before and during pregnancy. What is folic acid thought to decrease the incidence of in fetal development. Ans- Neural tube defect's A woman tells the nurse that she is quite sure she is pregnant. The nurse recognizes which has a positive sign of pregnancy? Ans- Fetal heartbeat At her initial prenatal visit a woman asks when can I hear the babies heart beat, at gestational age can the fetal heartbeat be ausculted with a specially adapted stethoscope or fetoscope? Ans- 18 weeks A woman pregnant for the first time ask the nurse when will I begin to feel the baby move what is the nurses best response? Ans- You may notice the baby moving around the fourth or fifth month A pregnant woman inquires about exercising during pregnancy. What information should the nurse include when planning to educate this woman? Ans- A regular schedule of moderate exercise during pregnancy is beneficial And ultrasound confirms that a 16-year-old girl is pregnant. How does this need for prenatal care and counseling for adolescents differ from other age population? Ans- A pregnant adolescent is experiencing two major life transitions at the same time At what age is a woman who becomes pregnant for the first time described as an elderly primip AnsAfter 35 y.o The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy what is the appropriate term for this sign? Ans- Goodell's When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease. Given this information, what lab test can the nurse anticipate the physician will order? AnsHemoglobin electrophoresis A pregnant woman is attending her second postpartum visit. Prenatal lab work indicates she is not immune to the rubella virus what is the most appropriate nursing intervention? Ans- Informed the woman she should receive the vaccine in the hospital after delivery A woman who is 37 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain is the most likely cause of the symptoms? Ans- Supine hypotension syndrome