Author Question: The client is 3 months pregnant and receives education regarding maintaining a healthy pregnancy. ... (Read 46 times)

RODY.ELKHALIL · **on:** Jun 25, 2018

The client is 3 months pregnant and receives education regarding maintaining a healthy pregnancy. The nurse based the education on the objectives of Healthy People 2020 regarding pregnant women.

Which client statements indicate appropriate understanding of the teaching session?
Select all that apply.
1. I never got my rubella vaccination so I've been staying away from my niece who has rubella.
2. I stopped taking Accutane for my acne before we started trying to get pregnant.
3. I have been so careful about taking my insulin now that I'm pregnant.
4. I have just one glass of wine each evening.
5. I had to change to a different medication to prevent my seizures before we got pregnant.

Question 2

The nurse educator is teaching a group of student nurses about the objectives of Healthy People 2020. Which statement by the student nurse indicates the need for further education?

1. Parents of school-aged children really need to be educated about the importance of treating strep throat.
2. African Americans really need to be educated about the symptoms associated with hypertension.
3. People who smoke are twice as likely to die from a heart attack when compared to those who don't smoke.
4. African Americans can benefit greatly from education aimed at increasing their understanding about the importance of exercise.

Madisongo23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 3, 5
Pregnant females who have not had or been immunized against rubella must avoid contraction of the virus during the first trimester of pregnancy. The use of Accutane during pregnancy can increase the risk of having a child with congenital heart defects. Females with diabetes mellitus have an increased risk of having a child with a heart defect. Careful regulation of the diabetes before and in early pregnancy can reduce the risk. Some anti-seizure medications can increase the risk of having a child with a heart defect. It is not appropriate to drink alcohol during pregnancy because it increases the risk of having a child with birth defects.

Answer to Question 2

Correct Answer: 2
African Americans can benefit from blood pressure screening activities. Hypertension is often present without any symptoms so education about symptoms will not be particularly beneficial. It is appropriate to educate parents of school-aged children about the importance of screening for and treating strep in their children. This can help prevent rheumatic fever and the valvular problems that are associated with this infection. Smokers have double the mortality rate from myocardial infarction than nonsmokers. The impact of hypertension, diabetes, and obesity is particularly noted in African Americans. Exercise can reduce the risks for cardiovascular disease by promoting healthy weight, maintaining healthy blood pressure, and reducing the risk for development of diabetes.