The nurse should discuss contraception as part of prenatal care. Show
All of these are true, with the exception that comprehensive prenatal care is not provided by the correctional facility health care team. On-site medical staff, including nurses and other health care providers, often do not provide any prenatal care or provide only limited prenatal care, with ultrasounds and management of high-risk pregnancies occurring off-site. Care provided outside of the correctional facility is arranged in coordination with prison officers and on-site staff. Women who are incarcerated are more likely to have a high-risk pregnancy due to a higher incidence of current and past trauma, drug or alcohol use disorder, chronic illness, infections, smoking, and poor prenatal care and a lower socioeconomic status. As when caring for other pregnant women, the nurse regularly screens incarcerated pregnant women for sexually transmitted infections, including HIV, and the use of tobacco, drugs, and alcohol. The food made available by the corrections facility may need to be adjusted to exclude food that is unpasteurized as well as cold cuts or undercooked meat, which may contain pathogens dangerous in pregnancy. As with all pregnant women, the nurse should discuss contraception as part of prenatal care. Women are up to 15 times more likely to start contraception if it is offered during incarceration instead of delayed until it can be obtained in the community after release. Approximately half of incarcerated women become pregnant within 3 months of release from prison, making the provision of contraception prior to release particularly important. Fats are essential during pregnancy, and vegetable oils are a good source; Omega-3 fatty acids, particularly linoleic acid, are fats that are essential for new cell growth but cannot be manufactured by the body. Vegetable oils such as safflower, corn, olive, peanut, and cottonseed, fatty fish, omega-3 infused eggs, and omega-3 infused spreads are all good sources. Pregnant women should ingest between 200 and 300 mg daily. Because some fish may be contaminated by mercury, alert women that the American Pregnancy Association (APA) recommends that marlin, orange roughy, tilefish, swordfish, shark, king mackerel, and bigeye and ahi tuna should be avoided during pregnancy. Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant. This is her 4th pregnancy. She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation. -3, 2, 1, 2, 1 The nurse is assigned to clients who are having the following procedures: amniocentesis, fetal nonstress test, chorionic villus sampling, percutaneous umbilical blood sampling, and Doppler assessment of fetal heart rate. For which clients will the nurse ensure that signed informed consent has been given and is in the client's record? -Amniocentesis, chorionic villus sampling, fetal nonstress test Upgrade to remove ads Only ₩37,125/year
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Get faster at matching terms Terms in this set (47)A client who is 37 years of age presents to the health care clinic for her first prenatal check up. Due to her advanced age, the nurse should prepare to talk with the client about her increased risk for what complication? a) Gestational diabetes b) Genetic disorders The fetus receives blood flow from the mother via the placenta and umbilical cord. What is the route of fetal circulation through the umbilical cord? a) The one umbilical vein carries oxygen rich blood to the fetus from the placenta a) The one umbilical vein carries oxygen rich blood to the
fetus from the placenta A nurse is preparing a patient for rhythm strip testing. She places the woman into a semi-Fowler's position. What is the appropriate rationale for this measure? a) To aid the woman as she pushes during labor b) To prevent supine hypotension syndrome An 18-year-old pregnant woman asks why she has to have a routine alpha-fetoprotein serum level drawn. You explain that this a) may reveal chromosomal abnormalities. a) may reveal chromosomal abnormalities. During the development of the fetus, its chorionic villi eventually meet with an area of uterine tissue to form the placenta. Which of the following statements accurately describes a function of the placenta? Select all answers that apply. a) It permits blood to bypass the right ventricle. Correct response: • It slows the maternal immune response. A woman is taking vaginal progesterone suppositories during her first trimester because her body does not produce enough of it naturally. She asks the nurse what function this hormone has in her pregnancy. The nurse should mention which of the following as the primary function of progesterone? Maintains the endometrial lining of the uterus during pregnancy A nurse is conducting prenatal classes and is reviewing the stages of fetal development. When discussing the pre-embryonic stage, what should the nurse inform the group about when this stage begins and ends? a) It begins approximately 2 weeks after fertilization and ends at the conclusion of the eighth week after fertilization. d) It begins at fertilization and lasts through the end of the second week after fertilization. The pre-embryonic stage begins at fertilization and lasts through the end of the second week after fertilization. When preparing a lecture for a group of students about fetal circulation, which structure would the nurse explain as being primarily responsible for ensuring that highly oxygenated blood reaches the fetal brain? a) Ductus venosus c) Foramen ovale A woman just delivered a healthy term newborn. Upon assessing the umbilical cord, the nurse would identify which of the following as normal? Select all that apply. a) One ligament • One vein A woman comes to the clinic and informs the nurse that she missed her first menstrual period and took a positive pregnancy test. What stage of fetal development does the nurse understand is occurring at this time? a) The pre-embryonic phase c) The embryonic phase Implantation generally occurs at which place on the uterus? a) The upper posterior surface a) The upper posterior surface A woman is to undergo chorionic villus sampling as part of a risk assessment for genetic disorders. Which of the following would the nurse include when describing this test to the woman? a) "An intravaginal ultrasound measures fluid in the space between the skin and spine." b) "A small amount of amniotic fluid will be withdrawn and collected for analysis." While assessing a client's breast during the third trimester, which of the following would the nurse expect to find? a) Colostrum from the nipples a) Colostrum
from the nipples implantation generally occurs at which place on the uterus? a) The lower anterior surface b )The upper posterior surface some women contract with other women to provide support during pregnancy and delivery, to provide emotional support during labor and delivery, and to aid in establishing breastfeeding. What is the name of the woman who is contracted? a) Doula a )Doula The nurse teaches a pregnant woman about breastfeeding, stating that stimulation of the breast through sucking or touching stimulates the secretion of which hormone? a) Oxytocin a) Oxytocin During a prenatal visit, the nurse inspects the skin of the client's abdomen. Which of the following would the nurse identify as an abnormal finding? a) Bruising a)
Bruising At 40 weeks gestation, a woman in for her prenatal visits states to the nurse "I am tired of being pregnant". What is the appropriate response by the nurse? a) "Most woman would have asked to be induced by this point, is that what you want?" D) That is a very normal feeling, especially at this point in pregnancy." A woman presents to the clinic in the first trimester of pregnancy. She has three children living at home. One of them was born prematurely at 34 weeks. The other two were full-term at birth. She has a history of one miscarriage. How do you record her obstetric history on the chart using the GTPAL format? a) G4 T3 P0 A1 L3 D) G5 T2 P1 A1 L3 A pregnant woman enjoys exercising at a local health spa once a week. Which of the following comments would lead you to believe she needs additional health teaching? a) "I limit exercising to low-impact aerobics." C) Nothing feels nicer than a hot sauna after exercise." You care for a woman in a prenatal clinic who thinks she might be pregnant. Which of the following assessments is a probable sign of pregnancy? a) Amenorrhea D) A positive pregnancy
test Which of the following is a positive sign of pregnancy? a) Fetal movement felt by examiner A) Fetal movement felt by examiner A woman calls the clinic to schedule an appointment because "I think I might be pregnant." Upon further assessment gathering of information from the woman, which of the following would be a probable sign of pregnancy? a) Fatigue B) Positive home pregnancy test A positive home pregnancy test is confirmed by hCG in the urine. This is considered a probable sign of pregnancy. Fatigue, amenorrhea, and vomiting can all have other causes. ( hen describing the characteristics of the amniotic fluid to a pregnant woman, which would the nurse include? a) It is composed primarily of organic substances. B) The amount gradually fluctuates during pregnancy. Amniotic fluid is alkaline. Amniotic fluid is composed of 98% water and 2% organic matter. Amniotic fluid volume gradually fluctuates throughout pregnancy. Sufficient amounts promote fetal movement to enhance musculoskeletal development. Amanda is about 16 weeks pregnant and is concerned because she feels her "abdomen" contracting. She calls the doctors office and speaks to the nurse. What is the most appropriate response to Amanda's concern? a) "You need to come to the office to be examined." B) What you are feeling are called Braxton Hicks contractions. They are considered practice contractions during pregnancy." A 24-year-old pregnant woman complains of excessive vaginal discharge. The discharge is not associated with a strong odor, itching, or irritation but she finds it messy and unpleasant. What do you advise her to do? a) Use sanitary pads A) Use sanitary pads Vaginal discharge increases during pregnancy and is a concern for many women. Encourage the patient to keep clean and wear sanitary pads as needed. Douching may be dangerous for the mother. STI's are not indicated simply by discharge. Pregnant women should not decrease fluid intake. ( A woman in the second trimester of pregnancy reports that she is "tired all the time." She appears pale and her hematocrit, though within the normal range, is low. Which recommendation would be most helpful for this woman? a) More meat in her diet B) An iron supplement Iron is necessary for the formation of hemoglobin; therefore it is essential to the oxygen-carrying capacity of the blood. Women who have normal hematocrit may need increased iron to carry more oxygen. Calcium supplementation is essential for normal fetal development. Meat and seafood are not specifically needed. Which of these cardiac variations, if found in the client who is pregnant, should the nurse recognize as a normal finding in pregnancy? a) Premature ventricular contractions D) Soft systolic murmur You meet a family at the prenatal clinic. What is the most effective way to assess the woman's usual food intake during her pregnancy? a) Ask her to describe her total intake for a week. D) Ask her to describe her intake for the last 24 hours. A patient, 31 years old, at 28 weeks gestation with her second pregnancy is in the clinic for a prenatal check-up. She informs you of frequent low back pain and ankle edema by the end of the day. What interventions should you suggest to relieve these discomforts? a) Rest when possible with feet elevated at or above the heart. est when possible with feet elevated at or above the heart. A patient who has just given a blood sample for pregnancy testing in the doctor's office asks the nurse what method of confirming pregnancy is the most accurate. The nurse explains the difference between presumptive symptoms, probable signs, and positive signs. Which of the following should the nurse mention as an example of a positive sign, which may be used to diagnose pregnancy? a) Laboratory test of a blood serum specimen for hCG D) Visualization of the fetus by ultrasound A woman's prepregnant weight is within the normal range. During her second trimester, the nurse would determine that the woman is gaining the appropriate amount of weight when her weight increases by which amount per week? a) 1.5 lb c ) 1 lb While providing an education to a prenatal class for first time mothers and fathers during the first trimester, you include information that the father may experience which of the following as normal during the pregnancy: a)
Physical symptoms similar to the mother A A young woman comes in for her annual exam. She reports missing her last two periods but she is confident that she cannot be pregnant, because she took a home pregnancy test and the result was negative. If all of the following were present, which one would positively confirm a pregnancy? a) Chadwick's sign d) A fetal heartbeat Which of the following is a positive sign of pregnancy? a) Fetal movement felt by examiner a) Fetal movement felt by examiner Many changes occur in the body of a pregnant woman. Some of these are changes in the integumentary system. What is one change in the integumentary system called? a) Chadwick's sign b) Chloasma During her 12 week prenatal check-up, the patient informs you on interview she has developed bumps on the dark part of her nipples. She wants to know what these bumps are. What is the appropriate answer? a) Montgomery's tubercles, secrete lubricant for the nipples Montgomery's tubercles, secrete lubricant for the nipples As a pregnant woman lies on the examining table, she grows very short of breath and dizzy. This phenomenon probably happens because a) Blood is trapped in the vena cava in a supine position Blood is trapped in the vena cava in
a supine position During an examination, a client who's 32 weeks pregnant becomes dizzy, lightheaded, and pale while supine. What should the nurse do first? a) Listen to fetal heart tones. Turn the client on her left side. A client in her second trimester of pregnancy arrives at the health care facility for a routine follow-up visit. The nurse is required to educate the client so that the client knows what to expect during her second trimester. Which of the following information should the nurse offer? a) "You will experience quickening, and you will actually feel the baby." Correct response: "You will experience quickening, and you will actually feel the baby." A friend tells you that she is going to use a home pregnancy test to determine whether she is pregnant. Which of the following precautions would you give her?
a) Refrain from eating for 4 hours before testing. Arrange for prenatal care if the test is positive. A pregnant woman is experiencing morning sickness. Which of the following responses indicates a need for further teaching? a) "I'll take antacid between meals." I'll take antacid between meals." The hormone responsible for the initiation of lactation is what? a) Oxytocin Prolactin Before becoming pregnant, a woman's heart rate averaged 72 beats per minute. The woman is now 15 weeks pregnant. The nurse would expect this woman's heart rate to be approximately: a) 100 beats per minute 85 beats per minute Amanda's menstrual period is two weeks late. She has been feeling tired and has had bouts of nausea in the morning. What classification of pregnancy symptoms is Amanda experiencing? a) Positive resumptive The nurse explains to a pregnant client, who is anemic, that she will need to take vitamins with iron during her pregnancy. What are food would you include on the patient's diet plan? a) Grains Correct response: Meats Early in pregnancy, frequent urination results mainly from which of the following? a) Addition of fetal urine to maternal urine ssure on the bladder from the uterus Sets with similar termsMaternity chapters 10,11,12 PrepU71 terms jared_eskins
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How many calories is a pregnant woman supposed to eat?For most normal-weight pregnant women, the right amount of calories is: About 1,800 calories per day during the first trimester. About 2,200 calories per day during the second trimester. About 2,400 calories per day during the third trimester.
Which of the following would you suggest to a pregnant woman who follows a vegetarian diet quizlet?Which of the following would you suggest to a pregnant woman who follows a vegetarian diet? Anticipate needing a vitamin B12 supplement during pregnancy. A woman who professes to be a strict vegetarian voices concerns about her ability to meet the nutritional needs of her fetus.
When questioned about alcohol consumption at her first prenatal visit a client says that she drinks occasionally What should the nurse urge her to do?When questioned about alcohol consumption at her first prenatal visit, a client says that she drinks occasionally. What should the nurse urge her to do? Abstain from alcohol completely during the remainder of her pregnancy. Drink no more than four alcoholic drinks per day.
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What is the most effective way for a nurse to assess a womans usual food intake during her pregnancy quizlet?
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