NR 327 EDAPT NURSING CARE HIGH RISK MOTHER 2024

EDAPT NURSING CARE HIGH RISK MOTHER Numerous maternal and fetal adaptations must occur in an orderly sequence for the childbearing process to be considered normal. If physiologic or emotional problems develop, complications can arise, threatening the well-being of the mother and/or the developing fetus. Infant mortality rate in the United States is surprisingly high, mostly associated with prematurity, birth defects, maternal complications, sudden infant death syndrome, and birth-related injuries. Women experiencing high-risk pregnancy require additional medical interventions and close observation to limit complications. Nurses play a key role through:  identifying risk factors  providing education  implementing quality care A nurse is teaching a client who is 16 weeks gestation about danger signs during pregnancy that should be reported immediately to the healthcare provider. Which danger signs should the nurse include in the teaching plan? The nurse must teach the client to differentiate between normal discomforts of pregnancy caused by physiologic changes to support the pregnancy and danger signs of pregnancy that require immediate attention. Persistent (chronic) vomiting after the first trimester that causes weight loss is not normal during pregnancy and is termed hyperemesis gravidarum. It is a common cause of hospitalization during the first half of pregnancy. Breast tenderness with darkened areola is caused by the increased estrogen and progesterone needed to support the pregnancy. This is a normal finding. Nasal stuffiness and occasional epistaxis are caused by estrogen-induced edema and vascular congestion of the nasal mucosa. This is a normal finding. Bilateral peripheral edema of the ankles is caused by the enlarging uterus putting pressure on the pelvic and femoral vessels, causing stasis of blood in the lower extremities. It should resolve with leg elevation and rest and is a normal finding. Which client is at risk for nutritional deficiencies that may complicate the pregnancy? Select all that apply. The nutritional status of the mother impacts fetal growth and development. Adolescents still require additional nutrients to support their own growth and development. Supporting a pregnancy requires even more nutrient consumption. Lack of financial support and poor eating habits may directly impact pregnancy outcomes. The unemployed client with multiple children at home may struggle to provide sufficient food to support the pregnancy and their young family. Phenylketonuria is a genetic condition in which the mother cannot process phenylalanine found in protein. Protein is an essential nutrient for fetal growth and is required in higher amounts during pregnancy. However, this mother must limit their protein intake.