NUR114 CH7

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Author:
TomWruble
ID:
180556
Filename:
NUR114 CH7
Updated:
2012-10-31 13:49:39
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nur114e1 Nursing Care Family during Pregnancy
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Nursing Care of the Family during Pregnancy
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  1. Maternal adaptation includes:
    • Accepting the pregnancy
    • Identifying with the maternal role
    • Reordering personal relationships
    • Establishing a relationship with the fetus
    • Preparing for childbirth.
  2. During the first trimester the pregnant woman would be most motivated to learn about:

    A. Fetal development.
    B. Measures to reduce nausea and fatigue so she can feel better.
    C. Location of childbirth preparation and breastfeeding classes.
    D. Impact of a new baby on family members.
    B. Measures to reduce nausea and fatigue so she can feel better.
    (this multiple choice question has been scrambled)
  3. Fetal development concerns are more apparent in the A trimester when the woman is feeling fetal movement.
    A) second
  4. Impact of a new baby on the family would be appropriate topics for the A trimester when the fetus becomes “real” as its movements are felt and its heartbeat heard. During this trimester a woman works on the task of, “I am going to have a baby
    A) second
  5. During the A trimester a woman is egocentric and concerned about how she feels. She is working on the task of accepting her pregnancy
    A) first
  6. Motivation to learn about childbirth techniques and breastfeeding is greatest for most women during the A trimester as the reality of impending birth and becoming a parent is accepted. A goal is to achieve a safe passage for herself and her baby.
    A) third
  7. An expectant father confides in the nurse that his pregnant wife, 10 weeks of gestation, is driving him crazy. “One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?” The nurse's best response would be:

    A. “This is normal behavior and should begin to subside by the second trimester.”
    B. “She may be having difficulty adjusting to pregnancy; I will refer her to a counselor that I know.”
    C. “This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant.”
    D. “You seem impatient with her. Perhaps this is precipitating her behavior.”
    C. “This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant.”

    Although it is appropriate to say the behavior is normal and will subside (answer A), this information does not answer the father’s question.
    (this multiple choice question has been scrambled)
  8. An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. The nurse should tell the couple that:

    A. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present.
    B. Safer-sex practices should be used once the membranes rupture.
    C. Intercourse should be avoided if any spotting from the vagina occurs afterward.
    D. Intercourse is safe until the third trimester.
    A. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present.
    (this multiple choice question has been scrambled)
  9. T/F: Intercourse should be avoided if any spotting from the vagina occurs afterward
    F: Some spotting can normally occur as a result of the increased fragility and vascularity of the cervix and vagina during pregnancy
  10. T/F: Intercourse is safe until the third trimester
    F: Intercourse can continue as long as the pregnancy is progressing normally
  11. T/F: Safer-sex practices should be used once the membranes rupture
    T&F: Safer-sex practices are always recommended; rupture of the membranes may require abstaining from intercourse
  12. T/F: Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present
    T: Uterine contractions that accompany orgasm can stimulate labor and would be problematic if the woman were at risk for or had a history of preterm labor
  13. A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she:

    A. Wiggles and points her toes during the cramp.
    B. Applies cold compresses to the affected leg.
    C. Extends her leg and dorsiflexes her foot during the cramp.
    D. Avoids weight bearing on the affected leg during the cramp.
    C. Extends her leg and dorsiflexes her foot during the cramp.
    (this multiple choice question has been scrambled)
  14. T/F: A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she wiggles and points her toes during the cramp.
    F: Pointing toes can aggravate rather than relieve the cramp.
  15. T/F: A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she applies cold compresses to the affected leg.
    F: Application of heat is recommended.
  16. T/F: A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she avoids weight bearing on the affected leg during the cramp.
    F: Bearing weight on the affected leg can help relieve the leg cramp, so it should not be avoided
  17. Nägele’s rule for estimating date of birth:
    Subtract 3 months and add 7 days (and 1 year, if appropriate) to the first day of a pregnant woman's last menstrual period

    • 5/1/12 - 2/8/13
    • 5/30/12 - 3/6/13
    • 2/12/12 - 11/19/12
    • 12/20/12 - 9/27/13
  18. A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse should inform her:

    A. “You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month.”
    B. “You don’t need to modify your exercising any time during your pregnancy.”
    C. “Stop exercising because it will harm the fetus.”
    D. “Jogging is too hard on your joints; switch to walking now.”
    A. “You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month.”
    (this multiple choice question has been scrambled)
  19. T/F: You don’t need to modify your exercising any time during your pregnancy.
    F: The nurse should inform the woman that she may need to reduce her exercise level as the pregnancy progresses.
  20. T/F: Stop exercising because it will harm the fetus
    F: Physical activity promotes a feeling of well-being in pregnant women. It improves circulation, promotes relaxation and rest, and counteracts boredom.
  21. T/F: You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month.
    T: Typically running should be replaced with walking around the seventh month of pregnancy.
  22. T/F: Jogging is too hard on your joints; switch to walking now.
    F: Simple measures should be initiated to prevent injuries, such as performing warm-up and stretching exercises to prepare the joints for more strenuous exercise.
  23. A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy could be:

    A. Alteration in the pattern of fetal movement.
    B. Edema in the ankles and feet at the end of the day.
    C. Constipation.
    D. Heart palpitations.
    A. Alteration in the pattern of fetal movement.
    (this multiple choice question has been scrambled)
  24. T/F: A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy could be constipation.
    F: Constipation is a normal discomfort of pregnancy that occurs in the second and third trimesters.
  25. T/F: A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy could be alteration in the pattern of fetal movement.
    T: An alteration in the pattern or amount of fetal movement may indicate fetal jeopardy
  26. T/F: A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy could be heart palpitations.
    F: Heart palpitations are a normal discomfort of pregnancy that occurs in the second and third trimesters.
  27. T/F: A woman who is 32 weeks’ pregnant is informed by the nurse that a danger sign of pregnancy could be edema in the ankles and feet at the end of the day.
    F: Edema is a normal discomfort of pregnancy that occurs in the second and third trimesters.
  28. In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that:

    A. Ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers.
    B. Nonacceptance of the pregnancy very often equates to rejection of the child.
    C. Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes.
    D. Conflicts that involve not wanting to be pregnant or be involved in childrearing and  career-related decisions that relate to being pregnant need not be addressed during pregnancy, because they will resolve themselves naturally after birth.
    C. Mood swings most likely are the result of worries about finances and a changed lifestyle, as well as profound hormonal changes.
    (this multiple choice question has been scrambled)
  29. T/F: In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that nonacceptance of the pregnancy very often equates to rejection of the child.
    F:  woman may dislike being pregnant, refuse to accept it, and still love and accept the child.
  30. T/F: In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that ambivalent feelings during pregnancy usually are seen only in emotionally immature or very young mothers.
    F: Ambivalent feelings about pregnancy are normal for mature or immature women, young or older.
  31. T/F: In understanding and guiding a woman through her acceptance of pregnancy, a maternity nurse should be aware that conflicts that involve not wanting to be pregnant or be involved in childrearing and  career-related decisions that relate to being pregnant need not be addressed during pregnancy, because they will resolve themselves naturally after birth.
    F: Conflicts involving being pregnant, raising a child, and having a career need to be resolved. The birth of the baby ends the pregnancy but does not resolve the other issues.
  32. Fundal height
    From 18-32 weeks, the height of the fundus above the pub symph in cm is approximately the gestational age +/- 2 weeks
  33. Avoid supine hypotension by
    lying on your side so that your vena cava is not occluded by the weight of the fetus
  34. In Michigan HIV testing consent is obtained via
    "General" consent
  35. Couvade syndrome
    Husbands with pregnancy-like symptoms
  36. Phases of relationship w/ fetus
    • 1) I am prgnant
    • 2) by 5th month - I am going to have a baby
    • 3) I am going to be a mother
  37. A woman has just moved to the United States from Mexico. She is 3 months pregnant and has arrived for her first prenatal visit. During her assessment interview, you discover that she has not had any immunizations. Which immunizations should she receive at this point in her pregnancy? Choose all that apply.

    A. Tetanus
    B. Diphtheria
    C. Chickenpox
    D. Rubella
    E. Hepatitis B
    A, B, and E.

    Immunization with live or attenuated live viruses is contraindicated during pregnancy because of its potential teratogenicity. Vaccines consisting of killed viruses may be used. Those that may be administered during pregnancy include tetanus, diphtheria, recombinant hepatitis B, and rabies vaccines.

    Live-virus vaccines (contraindicated) include those for measles (rubeola and rubella), chickenpox, and mumps.

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