Needs of Maternal and Reproductive Health Clients

Needs of Maternal and Reproductive Health Clients Related

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When explaining the recommended weight gain to your patient, the nurse's teaching should include which statement?

  • A. All pregnant women need to gain a minimum of 25 to 35 lb.'
  • B. The fetus, amniotic fluid, and placenta require 15 lb of weight gain.'
  • C. Weight gain in pregnancy is based on the patient's prepregnant body mass index.'
  • D. More weight should be gained in the first and second trimesters and less in the third.'
Correct Answer: C

Rationale: The correct answer is C because weight gain in pregnancy should be individualized based on the patient's prepregnant body mass index (BMI). This is important as it takes into consideration the patient's starting weight and helps to determine a healthy range of weight gain to support both maternal and fetal health. This approach is evidence-based and helps to prevent complications such as gestational diabetes and preeclampsia.

Explanation for why the other choices are incorrect:
A: This statement is incorrect because not all pregnant women need to gain the same amount of weight. Weight gain recommendations vary based on the patient's BMI.
B: This statement is incorrect as it provides a specific number for weight gain, which may not be accurate for all pregnant women. Weight gain should be individualized based on BMI.
D: This statement is incorrect because weight gain recommendations are distributed evenly across the trimesters, not necessarily more in the first and second trimesters and less in the third.

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A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?

  • A. There is stratification of communication in a directed manner between nursing staff and administration.
  • B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
  • C. Physicians are certified in their respective specialty areas.
  • D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B

Rationale: Magnet status hospitals demonstrate higher nurse job satisfaction and lower turnover rates, along with improved quality of care.

The nurses assessing a 38-week gestation newborn infant immediately following a vaginal birth. Which assessment finding best indication that the infant is transitioning well to extrauterine life?

  • A. Heart rate 220 beats/minute
  • B. Cries vigorously when stimulated
  • C. A positive Babinski reflex
  • D. Flexion of all four extremities
Correct Answer: B

Rationale: Vigorous crying (B) indicates effective transition to extrauterine life.

A pregnant woman of normal weight enters her 13th week of pregnancy. If the patient eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?

  • A. 0.3 lb every week
  • B. 1 lb every week
  • C. 1.8 lb every week
  • D. 2 lb every week
Correct Answer: B

Rationale: The correct answer is B: 1 lb every week. During the second and third trimesters, a pregnant woman is expected to gain about 1 lb per week on average. This weight gain is important for the healthy development of the baby and to support the mother's changing body. Gaining weight too slowly can lead to complications, while gaining too quickly can also have negative effects. Choices A, C, and D are incorrect because they suggest weight gain rates that are either too low or too high for a healthy pregnancy. It is crucial for the nurse to educate the patient on the importance of appropriate weight gain throughout the remaining trimesters to ensure the well-being of both the mother and the baby.

A client at 41-weeks gestation is admitted to the labor and delivery unit for induction of labor. The client's cervix is dilated 2 cm, 50% effaced, and the fetus is at -2 station. The Bishop score is 4. What action should the nurse anticipate?

  • A. Administration of prostaglandin gel.
  • B. Rupture of membranes.
  • C. Administration of oxytocin.
  • D. Preparation for a cesarean section.
Correct Answer: A

Rationale: A Bishop score of 4 indicates an unfavorable cervix, and prostaglandin gel is typically used to ripen the cervix before induction.

Which effect is a common response to both smoking and cocaine use in the pregnant patient?

  • A. Vasoconstriction
  • B. Increased appetite
  • C. Increased metabolism
  • D. Changes in insulin metabolism
Correct Answer: A

Rationale: The correct answer is A: Vasoconstriction. Both smoking and cocaine use can lead to vasoconstriction, which is the narrowing of blood vessels. In pregnant patients, this can reduce blood flow to the fetus, leading to potential complications. Increased appetite (B) and increased metabolism (C) are not common responses to both smoking and cocaine use. Changes in insulin metabolism (D) are more commonly associated with conditions like gestational diabetes rather than as a common response to smoking and cocaine use during pregnancy.

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