MATERNAL CHILD NURSING CARE CHAPTER 8 NURSING CARE OF THE FAMILY DURING PREGNANCY 2022

Document Content and Description Below

MATERNAL CHILD NURSING CARE CHAPTER 8 NURSING CARE OF THE FAMILY DURING PREGNANCY 2022 The nurse should instruct the patient to drink cranberry juice and acidophilus milk, because they have antib... acterial properties and help prevent recurrence of urinary tract infections. The nurse should advise the patient to drink at least 2 liters of fluids per day to maintain adequate hydration. This also promotes optimal urination and prevents bacterial infection. The nurse should instruct the patient to avoid bubble baths because they can irritate the urethra. The nurse should instruct the patient to avoid using scented toilet paper because it may irritate the genitourinary tissues. - A pregnant patient with a urinary tract infection is being discharged from the hospital after recovery. What preventive measures does the nurse suggest to the patient? Select all that apply. 1 "Drink cranberry juice." 2 "Drink acidophilus milk." 3 "Regularly take bubble baths." 4 "Drink 2 liters of fluids daily." 5 "Use scented toilet paper. The pregnant patient has a family history of diabetes and may be at a high risk for developing gestational diabetes. Because the initial 1-hour glucose tolerance test results are normal, the patient should be advised to repeat the test again at 28 weeks of pregnancy. The patient has normal blood sugar levels and is therefore unlikely to have renal complications. The patient does not need to undergo a renal function test. The laboratory reports do not indicate that the patient has any nutritional deficiencies and does not indicate a need for the patient to increase her food intake. A 3-hour glucose test is conducted only for pregnant patients whose 1- hour glucose tolerance test is positive. - The nurse is reviewing the lab reports of a patient who is 10 weeks pregnant and has a family history of diabetes mellitus. The nurse finds that the patient's 1-hour glucose tolerance test is normal. What does the nurse advise the patient? 1 "Undergo a renal function test." 2 "Increase food intake." 3 "Repeat the test at 28 weeks." 4 "Undergo a 3-hour glucose test." Patients who have undergone bariatric surgery are at a high risk for impaired nutrition, so the nurse should regularly monitor the patient's nutritional status. The client's family history is considered to rule out the risk for congenital anomalies in the fetus, which is not necessary in this case. Blood glucose levels are monitored if the patient is at high risk for developing gestational diabetes during the first or last trimester. Blood pressure levels are usually monitored in the pregnant patient during regular visits to assess the risk for gestational hypertension. - The nurse is assessing a pregnant patient who has undergone bariatric surgery in the past. What will the nurse primarily check in the patient's health records? 1 Family history 2 Nutritional status 3 Blood glucose levels 4 Blood pressure 1, 2, 4 Angiomas, gingivitis, and nose bleeding occur in the pregnant patient because of an increase in estrogen levels. Angiomas (spider nevi) appear on the neck, thorax, face, and arms during the second or third trimester of pregnancy. Estrogen increases vascularity and proliferation of the connective tissue. This results in gingivitis. Estrogen causes hyperemia of the mucous membranes. This results in nose bleeding. Constipation during pregnancy results from an increase in progesterone (not estrogen) levels. Gastrocnemius spasm during pregnancy is caused by a reduced level of diffusible serum calcium or an elevation of serum phosphorus. - Which signs and symptoms in a pregnant patient would the nurse attribute to elevated levels of estrogen? Select all that apply. CONTINUES... [Show More]

Last updated: 2 years ago

Preview 1 out of 15 pages