Needs of Maternal and Reproductive Health Clients

Needs of Maternal and Reproductive Health Clients Related

Review Needs of Maternal and Reproductive Health Clients related questions and content

A patient with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the patient gain during the pregnancy?

  • A. 20 lb
  • B. 25 lb
  • C. 28 lb
  • D. 40 lb
Correct Answer: A

Rationale: The correct answer is A (20 lb). During pregnancy, the recommended weight gain for a woman with a BMI of 30-39.9 is 11-20 pounds. This range helps reduce the risk of complications associated with excessive weight gain. Option B (25 lb) exceeds this recommended range, while options C (28 lb) and D (40 lb) are even further beyond the healthy weight gain guidelines for a BMI of 32. Thus, advising the patient to gain a maximum of 20 pounds is the most appropriate recommendation to ensure a healthy pregnancy outcome.

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Which assessment finding should the nursery nurse report to the pediatric healthcare provider?

  • A. Blood glucose level of 45 mg/dl
  • B. Blood pressure of 82/45 mmHg
  • C. Non-bulging anterior fontanel
  • D. Central cyanosis when crying
Correct Answer: D

Rationale: An infant who demonstrates central cyanosis when crying (D) is manifesting poor adaptation to extrauterine life which should be reported to the healthcare provider for determination of a possible underlying cardiovascular problem.

A client at 39-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 5 cm, 90% effaced, and the fetus is at 0 station. The client's membranes rupture spontaneously, and the fluid is greenish-brown. What action should the nurse take first?

  • A. Assess the fetal heart rate pattern.
  • B. Perform a vaginal examination.
  • C. Prepare for an emergency cesarean section.
  • D. Administer oxygen via face mask.
Correct Answer: A

Rationale: Greenish-brown amniotic fluid indicates meconium-stained fluid, and assessing the fetal heart rate pattern is critical to determine fetal well-being.

Which nursing intervention is an independent function of the professional nurse?

  • A. Administering oral analgesics
  • B. Requesting diagnostic studies
  • C. Teaching the patient perineal care
  • D. Providing wound care to a surgical incision
Correct Answer: C

Rationale: Teaching is an independent nursing function, whereas administering medications or requesting diagnostic studies are dependent functions requiring physician orders.

When assessing a pregnant woman AT 39-weeks gestation who is admitted to labor and delivery which finding is most important to report to the health care provider?

  • A. proteinuria
  • B. 130/70 blood pressure
  • C. pedal edema
  • D. 101.2 oral temperature
Correct Answer: D

Rationale: Fever (D) can indicate infection, which requires prompt evaluation.

The nurse is teaching a client with gestational diabetes about nutrition and insulin need for pregnancy. Which content should the nurse include in this client teaching plan?

  • A. Insulin production is decreased during pregnancy
  • B. Increase daily caloric intake is needed
  • C. Injection requirements remain the same
  • D. Blood sugars need less monitoring in the first trimester
Correct Answer: B

Rationale: An increase in caloric intake is often necessary to meet the increased metabolic demands of pregnancy, especially in clients with gestational diabetes.

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