Author Question: A client at 33 weeks' gestation has a complete blood cell count (CBC) drawn. When the client hears ... (Read 136 times)

ereecah · **on:** Jun 25, 2018

A client at 33 weeks' gestation has a complete blood cell count (CBC) drawn. When the client hears that her hemoglobin level was higher before her pregnancy, she asks if this will increase the risk to her unborn baby.

What information should be provided to the client?
1. If the client increases the number of prenatal vitamins taken, the risk to the fetus will be eliminated.
2. The fetus is at an increased risk of prematurity.
3. Dietary management will eliminate the risk to the fetus.
4. The fetus will likely suffer from anemia as well.

Question 2

The nurse is preparing a teaching plan for a group of pregnant clients. Which should the nurse include in this teaching session? Select all that apply.

1. Do not use soap on my nipples.
2. Sleep 8-10 hours each night.
3. Eat four servings of dairy products daily.
4. Do not take iron supplements due to constipation.
5. Avoid resting in a back lying position.

mammy1697 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
The risk to the fetus as a result of the maternal anemia includes prematurity, low birth weight, and perinatal mortality. Changes in prenatal vitamin intake and dietary modification may improve the condition and reduce risk, but this will not totally eliminate the associated risk factors. There is no evidence the fetus will experience anemia.

Answer to Question 2

Correct Answer: 1, 2, 3, 5
The use of soap on the nipples will result in drying and should be avoided. Pregnant women are in need of adequate rest and sleep. Sleeping 8 to 10 hours each night is recommended. The dietary needs of the pregnant woman will involve approximately 1,000 mg of calcium daily. The needed calcium can be obtained by ingesting four servings from the dairy group each day. Dietary intake during pregnancy cannot meet the iron required for the needs of both mother and baby. Iron supplements are needed to meet the needs of the pregnant women. While constipation may be associated with iron supplementation, discontinuing the medication is contraindicated. The client experiencing constipation should be instructed to increase fluid and fiber intake to promote bowel regulation instead of not taking the needed iron supplements. Lying on the back is contraindicated as the pregnancy progresses. Back-lying positions will result in the compression of the vena cava and may cause reduced perfusion, lightheadedness, and dizziness.