NR 327 EDAPT - HEALTH PROMOTION AND PREGNANCY

HEALTH PROMOTION AND PREGNANCY The nurse plays a key role in the prevention of pregnancy and childbirth-related complications through the delivery of quality health care preconception (before pregnancy), prenatally (during pregnancy), and interconception (between pregnancies). For many women, family planning and sexual health services are the only medical care they receive. This presents many preconceptionrelated health promotion opportunities, risk identification opportunities, and risk reduction opportunities in order to improve pregnancy outcomes. The nurse explains the changes a pregnant client will experience related to sleep. Which statement is true regarding sleep during pregnancy? Nearly all pregnant women notice increased nighttime awakenings (especially during the third trimester). There can be physical discomfort, psychological adjustments, and hormone changes—all of which can impact sleep and result in excessive daytime sleepiness and fatigue. Lying on the side is recommended and can help lift pressure off the vena cava, which helps improve perfusion. A wedge pillow placed under the belly can reduce back strain. Which foods should be avoided during pregnancy because of the risk of contamination by bacteria? To avoid listeria infections, pregnant women should avoid soft and moldy cheeses. Listeria food infections have been found in deli meats, hot dogs, raw dairy products, and some raw produce. Sprouts need warm and humid conditions to grow. These conditions are also ideal for the growth of bacteria, including listeria, salmonella, and E. coli. Pregnant women should not eat raw or lightly cooked sprouts of any kind (including alfalfa, clover, radish, and mung bean sprouts). Refrigerated, smoked seafood presents a very real threat of listeria. Pregnant women should not eat refrigerated, smoked seafood unless it is in a cooked dish, such as a casserole, that reaches an internal temperature of 165°F to kill harmful germs. A client has arrived at the obstetrician's office for a pre-pregnancy appointment. The client was running late due to smoking a cigarette before walking into the building. The client asks the nurse how long the appointment will take and if it is really that important to quit smoking before trying to conceive. Which of the following statements related to smoking should the nurse share with the client? Select all that apply. Risks associated with smoking during pregnancy include an increased risk of miscarriage and an increased incidence of birth defects. Smoking after birth and exposing the newborn to secondhand smoke increases the risk for sudden infant death syndrome. Smoking during pregnancy can cause premature labor, not a postdates pregnancy. Smoking during pregnancy can impede fetal growth, not increase fetal growth. HEALTHY PEOPLE 2030 Once pregnancy is determined, antepartum (prenatal) care should begin. Women are often very motivated to improve health practices during pregnancy for the benefit of their unborn child, providing many general health benefits and pregnancy-related health promotion opportunities. The cognitive and physical development of infants and children may be influenced by the health, nutrition, and