The Pregnancy: 25 Questions
Prenatal Care and Antepartum Assessment
● Prenatal Care
o Important so that the provider can identify existing risk factors, and any deviations from normal
o Enhances the pregnancy outco
...
The Pregnancy: 25 Questions
Prenatal Care and Antepartum Assessment
● Prenatal Care
o Important so that the provider can identify existing risk factors, and any deviations from normal
o Enhances the pregnancy outcome
o Inadequate or no care – increased risk of preterm labor/birth, malnutrition, LBW, and infant mortality
o In US 83% of women get adequate prenatal care
o Others don’t get it for various reasons:
▪ Unable to get there
▪ Unwilling
▪ Don’t know about the services
A client reports occasional headaches. She wants to know what she can take to alleviate the discomfort. What would be the best response by the nurse? "The safest medication to take for your headaches during your pregnancy would be acetaminophen."
A woman who is 4 months pregnant has pyrosis. Which suggestion would the nurse give her? eat small meals and do not lay down after meals
A nurse is teaching a client who is 30 weeks pregnant about ways to deal with heartburn. The nurse determines a need for additional teaching based on which client statement? I should lie down for ½ hour after eating
In preparing for a preconception class, the nurse plans to include a discussion of potential risk factors. Which risk factor would be most important to include? use of OTC drugs with tetrogens
When providing preconception care to a client, the nurse would identify which medication as being safe to continue during pregnancy? famotidine
● Initial Prenatal Visit
o Take a health history of all of her systems (including psych)
▪ including age, menstrual history, prior obstetric history, past medical and surgical history, psychological screening, family history, genetic screening, dietary habits, lifestyle and health practices, medication or drug use, and history of exposure to STIs
A nurse is taking a history during a client's first prenatal visit. Which assessment finding would alert the nurse to the need for further assessment? history of diabetes for 4 years
A young woman with scoliosis has just learned that she is pregnant. Several years ago, she had stainless-steel rods surgically implanted on both sides of her vertebrae to strengthen and straighten her spine. However, her pelvis is unaffected by the condition. What does the nurse anticipate in this woman's pregnancy? potential for greater than usual back pain
A woman in her 20s explains to the nurse that she would like to eat more healthy foods during her pregnancy but complains about the high cost of food. She confides that she just makes minimum wage at her job and that things are tight for her financially. What would be the most appropriate intervention for the nurse to make? discuss WIC program with the client
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