Needs of Maternal and Reproductive Health Clients

Needs of Maternal and Reproductive Health Clients Related

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Which clinical finding is associated with inadequate maternal weight gain during pregnancy?

  • A. Prolonged labor
  • B. Preeclampsia
  • C. Gestational diabetes
  • D. Low-birth-weight infant
Correct Answer: D

Rationale: The correct answer is D: Low-birth-weight infant. Inadequate maternal weight gain during pregnancy is associated with an increased risk of delivering a low-birth-weight infant due to insufficient fetal growth and development. When a mother does not gain enough weight during pregnancy, it can result in the baby being born smaller than expected, which can lead to various health issues. Prolonged labor (choice A) is not directly linked to inadequate weight gain. Preeclampsia (choice B) and gestational diabetes (choice C) are more commonly associated with excessive weight gain or other factors. Therefore, the correct choice is D as it directly correlates with inadequate maternal weight gain.

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Which patient has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

  • A. From 1800 to 2200 calories per day
  • B. From 2000 to 2500 calories per day
  • C. From 2200 to 2530 calories per day
  • D. From 2500 to 2730 calories per day
Correct Answer: C

Rationale: Rationale: The correct answer is C because for breastfeeding, an additional 500 calories/day are needed compared to pregnancy. The recommended caloric intake during pregnancy is around 2200 calories/day. Therefore, increasing from 2200 to 2530 calories/day aligns with the additional 500 calories necessary for sustaining breastfeeding.

Summary:
A: Going from 1800 to 2200 calories/day does not provide the extra 500 calories needed for breastfeeding.
B: Increasing from 2000 to 2500 calories/day does not account for the original pregnancy intake or the additional calories required for breastfeeding.
D: Jumping from 2500 to 2730 calories/day exceeds the additional 500 calories needed for breastfeeding, potentially leading to excessive weight gain.

The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?

  • A. Providing more women's shelters
  • B. Ensuring early and adequate prenatal care
  • C. Resolving all language and cultural differences
  • D. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
Correct Answer: B

Rationale: Early and adequate prenatal care is critical to reducing infant mortality by addressing complications early.

A 35-year-old primigravida client with severe preeclampsia is receiving magnesium sulfate via continuous IV infusion. Which assessment data indicates to the nurse that the client is experiencing magnesium sulfate toxicity?

  • A. Deep tendon reflexes 2+
  • B. Blood pressure 140/90
  • C. Respiratory rate 18/minute
  • D. Urine output 90 ml/4 hours
Correct Answer: D

Rationale: Urine outputs of less than 100 ml/4 hours (D), absent DTRs, and a respiratory rate of less than 12 breaths/minute are cardinal signs of magnesium sulfate toxicity.

In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?

  • A. Planning
  • B. Evaluation
  • C. Assessment
  • D. Intervention
Correct Answer: A

Rationale: The planning phase involves determining appropriate interventions for identified problems during assessment.

The nurse should encourage the laboring client to begin pushing when

  • A. There is only an anterior or posterior lip of cervix left
  • B. The client describes the need to have a bowel movement
  • C. The cervix is completely dilated
  • D. The cervix is completely effaced
Correct Answer: C

Rationale: Pushing begins with the second stage of labor, i.e., when the cervix is completely dilated (C), the cervix can become edematous and may never completely dilate, necessitating an operative delivery. Many primigravidas begin active labor 100% effaced and then proceed to dilate.

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