Ricci, Kyle & Carman: Maternity and
Pediatric Nursing, Second Edition: PrepU;
Chapter 11: Maternal Adaptation During
Pregnancy Questions And Answers
... [Show More] 2022-
2023 Solved Update A+
Amanda is about 16 weeks pregnant and is concerned because she feels her
"abdomen" contracting. She calls the primary care provider's office and speaks to the
nurse. What is the nurse's most appropriate response to Amanda's concern? - ANS-
"What you are feeling are called Braxton Hicks contractions. They are considered
practice contractions during pregnancy."
Braxton Hicks contractions are the painless, intermittent, "practice" contractions of
pregnancy.
A woman tells the nurse that she is going to use a home pregnancy test to determine
whether she is pregnant. Which precautions should the nurse give her? - ANS-Arrange
for prenatal care if the test is positive.
Home pregnancy testing can be accurate as soon as a period is missed; it should not
take the place of prenatal care.
During a routine antepartal visit, a pregnant woman reports a white, thick vaginal
discharge. What would the nurse do next? - ANS-Ask the woman if she is having any
itching or irritation.
Although vaginal secretions increase during pregnancy, the nurse would need to
ascertain if this discharge is the normal leukorrhea of pregnancy or if it is a monilial
vaginitis, which is common during pregnancy. The nurse needs additional information to
conclude that the woman's report is normal. A culture may or may not be necessary.
There is no evidence to suggest that her membranes have ruptured.
Morning sickness is associated with rising levels of human chorionic gonadotropin
(hCG) and progesterone. - ANS-True
Known as morning sickness, nausea and vomiting begins to be noticed at the same
time levels of hCG and progesterone begin to rise so these may contribute to its cause.
Another reason may be a systemic reaction to increased estrogen levels or decreased
glucose levels, because glucose is being used in such great quantities by the growing
fetus.
During a prenatal visit, a client in her second trimester of pregnancy verbalizes positive
feelings about the pregnancy and conceptualizes the fetus. Which is the most
appropriate nursing intervention when the client expresses such feelings? - ANS-Offer
support and validation about the client's feelings.
During the second trimester, many women will verbalize positive feelings about the
pregnancy and will conceptualize the fetus. The woman may accept her new body
image and talk about the new life within her. Generating a discussion about the
woman's feelings and offering support and validation at prenatal visits are important
nursing interventions. The nurse should encourage the client in her first trimester to
focus on herself, not on the fetus; this is not required when the client is in her second
trimester. The client's feelings are normal for the second trimester of pregnancy; hence,
it is not necessary either to inform the primary health care provider about the client's
feelings or to tell the client that it is too early to conceptualize the fetus.
During pregnancy a woman has many psychological adaptations that must be made.
The nurse must remember that the baby's father is also experiencing the pregnancy and
has adaptations that must be made. Some fathers actually have symptoms of the
pregnancy along with the mothers. What is this called? - ANS-couvade syndrome
Some fathers actually experience some of the physical symptoms of pregnancy, such
as nausea and vomiting, along with their partner. This phenomenon is called couvade
syndrome.
While providing an education to a prenatal class for first-time mothers and fathers
during the first trimester, the nurse includes information that the father may experience
which occurrence as normal during the pregnancy? - ANS-physical symptoms similar to
the mother
Couvade syndrome is the occurrence of physical symptoms by the male, similar to the
physical symptoms of the mother. Other emotional symptoms may occur, but they are
typically on a person-to-person basis.
Which assessment finding in a woman is a positive sign of pregnancy? - ANSvisualization of the fetus by ultrasound at 6+ weeks
A positive sign of pregnancy is visualization of the fetus by ultrasound at 6+ weeks.
Amenorrhea is a presumptive sign and can be caused by a variety of factors. Positive
hCG in the blood and uterine growth are both probable signs but can be caused by
hydatidiform or tumors.
A client in her 29th week of gestation reports dizziness and clamminess when assuming
a supine position. During the assessment, the nurse observes there is a marked
decrease in the client's blood pressure. Which intervention should the nurse implement
to help alleviate this client's condition? - ANS-Place the client in the left lateral position.
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