A pregnant client is diagnosed with a cardiac problem. What ...

[ghost!]

A pregnant client is diagnosed with a cardiac problem. What should the nurse prepare to instruct this client to do, to ensure a safe pregnancy? Select all that apply.
 
  1. Restrict activities.
  2. Follow a diet high in iron and protein.
  3. Restrict the intake of sodium.
  4. Obtain 8 to 10 hours of sleep.
  5. Obtain pneumococcal vaccination.

Question 2

A client in labor is demonstrating acute manifestations of schizophrenia. What should the nurse identify as a priority for this client? Select all that apply.
 
  1. Ensuring fetal well-being
  2. Ensuring maternal well-being
  3. Maintaining a safe environment
  4. Medicating for pain as necessary
  5. Considering pharmacologic intervention

[momo1250]

Answer to Question 1

1, 2, 3, 4
Explanation:
1. To help preserve her cardiac reserves, the woman may need to restrict her activities.
2. For the pregnant client with cardiac problems, the client should be instructed in the importance of a diet high in iron and protein.
3. For the pregnant client with cardiac problems, the client should be instructed in the importance of a diet low in sodium.
4. For the pregnant client with cardiac problems, 8 to 10 hours of sleep are essential.
5. Because upper respiratory infections may tax the heart and lead to decompensation, the woman must avoid contact with sources of infection. A pneumococcal vaccination is not indicated.

Answer to Question 2

1, 2, 3, 5
Explanation:
1. Some women with severe psychologic disorders may have excessive symptoms during their labor and birth. Care of these women should focus on ensuring fetal well-being.
2. Some women with severe psychologic disorders may have excessive symptoms during their labor and birth. Care of these women should focus on ensuring maternal well-being.
3. Some women with severe psychologic disorders may have excessive symptoms during their labor and birth. Care of these women should focus on maintaining a safe environment.
4. Medicating for pain would be provided for all laboring clients, not just those experiencing acute manifestations of schizophrenia.
5. Pharmacologic interventions may be necessary for excessive symptoms.