Nokea
What would the nurse include in a teaching plan for the pregnant patient who has iron deficiency anemia and has been placed on iron supplements? (Select all that apply.)
- A. Citrus fruits enhance absorption of iron.
- B. Bran products support iron deficiency.
- C. Milk will disguise the taste of the iron.
- D. The iron therapy will continue for about 3 months.
- E. Tea should be avoided while taking iron.
Correct Answer: A,D,E
Rationale: Calcium, bran, and milk interfere with the absorption of iron. Vitamin C helps with the absorption of iron, the therapy usually lasts 3 months, and the tannic acid in tea does interfere with the absorption of iron.
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The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the nurse explain is the objective of magnesium sulfate therapy for this patient?
- A. To prevent convulsions
- B. To promote diaphoresis
- C. To increase reflex irritability
- D. To act as a saline cathartic
Correct Answer: A
Rationale: Magnesium sulfate is a central nervous system depressant given to prevent seizures.
What symptom reported by a pregnant patient would lead the nurse to suspect pyelonephritis?
- A. Frequency and urgency of urination
- B. Nausea and weight loss
- C. Burning sensation when voiding
- D. Tenderness in the flank area
Correct Answer: D
Rationale: Pyelonephritis is a particularly serious infection in pregnancy. Signs and symptoms include high fever, chills, flank pain or tenderness, nausea, and vomiting.
A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, 'Will I be able to deliver vaginally?' What explanation by the nurse is the most appropriate?
- A. Yes, you can deliver vaginally until 36 weeks.'
- B. A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section will be done.'
- C. A cesarean section is performed when the mother has a total placenta previa.'
- D. There is no reason why you cannot have a vaginal delivery.'
Correct Answer: C
Rationale: A cesarean delivery is done for a partial or total placenta previa.
The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. What is the most appropriate statement by the nurse?
- A. There is usually something wrong with the fetus when this happens early in pregnancy.'
- B. Now there. You can try to conceive on your next cycle.'
- C. I'm here if you need to talk.'
- D. You are young and strong. I know you can have a healthy pregnancy.'
Correct Answer: C
Rationale: An effective technique when communicating with a woman experiencing pregnancy loss is to say, 'I'm here if you need to talk.' The nurse listens and acknowledges the woman's grief.
A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED). What should the ED nurse offer the patient? (Select all that apply.)
- A. Privacy
- B. An opportunity to hold the infant
- C. Materials about support groups
- D. A memento (footprint or lock of hair)
- E. A warm beverage
Correct Answer: A,B,C,D
Rationale: The patient should be offered privacy, an opportunity to hold the infant, support group information, and a memento. A warm beverage is not a priority at this time.