1) Explain why Annie and her husband Matt should
seek preconception care as soon as possible.
2) What maternal and fetal /newborn
complications should this nurse describe?
3) Describe what the nurse should tell Annie about how insulin
needs will change her pregnancy.
4) At her second prenatal visit, Annie’s
glycosylated hemoglobin was 5%. Explain what this finding indicates?
5)
How should Annie’s diet be modified to meet the requirement of pregnancy?
6) What measure could the nurse to
help prevent or reduce Annie’s and Matt’s level of stress?
7) During the third semester Annie
asks the nurse if she will be able to breast-feed her baby. What should the
nurse tell Annie?
8)
What should the nurse emphasize in the teaching given Annie regarding birth
control in the postpartum period and the method she has chosen?
PREGNANT WOMAN
DURING THE FIRST TRIMESTER
1)
Laura last
menstrual method period began on June 19, 2002. What should the nurse explain
to Laura about her expected date of birth?
2) List
the assessment components that the nurse practitioner should include as part of
Laura’s health history, physical risk factors are identified.
During the
assessment process Laura asks the nurse why she has to answer so many questions
and have such a complete exam, “I am very healthy and just having a baby! Are
you looking for problems? Describe the approach the nurse should take in
addressing Laura’s concern?
3) Indicate
one expected out come for this nursing diagnosis and list three nursing
measures that can be used to help Laura and her husband achieve the expected
outcome.
4) What
should the nurse tell Laura about coming for prenatal care when she notices
problem rather than coming on a regular basis according to a schedule.
5)
What should the
nurse respond to Laura’s concern about feeling nauseous and vomiting?
6)
How should the
nurse answer question about Laura’s sexuality during pregnancy?
7) What
approach should nurse make in addressing Laura’s expressed emotions and
feelings regarding waiting to wait a little more to get pregnan?.
Pregnant woman
with preeclampsia
1) How should
the nurse explain preeclampsia to Julia?
2)
2)What clinical manifestations
did Julia most likely exhibit to lead to this diagnosis?
3)What risk factors for this
does Julia present?
4)When assessing Julia, the nurse must be
alert for signs that her mild preeclampsia is progressing to a more advanced
stage. What clinical manifestations would indicate a worsening condition?
5) What should the nurse tell
Julia to include in her diary? What are Julia’s learning needs with regard to
the recommendation that she maintain a daily dairy of her health and
well-being?
6)Primary expected outcome associated with
magnesium sulfate?
B)what are the priority nursing assessments
and frequency of assessment for Julia while she is receiving magnesium sulfate
therapy?
C)identify the signs Julia would
exhibit related to magnesium toxicity?
Vegetarian
woman with High BMI
1) What
nutritional risk factors can be identified from the above data?
2) How should
the nurse explore Annette diet?
3) What teaching
is more important with iron supplement?
4) How should Annette be counseled
regarding weight gain?
5) What other
advice relating to nutrition and weight gain should Annette be given?
Maternal Body
System changes during Labor
1)What
are the cardiovascular physiologic changes that occur during labor?
2)What
position is beneficial for the laboring woman owing to these cardiovascular
changes?
3)What
are the respiratory physiologic changes that occur during labor?
4)Should
Laurie eat a sandwich while in labor? What are the gastrointestinal physiologic
changes during that occur during labor?
5)
Should the nurse be concerned about finding Laurie’s urine for protein 1+?
6) Laurie
is now 10 cm dilated and +2 stations, and she feels the urge to push. What
instructions should the nurse give Laurie about pushing?
