Author Question: A couple in their late 30s are pregnant for the first time. In evaluating the care delivered, the ... (Read 46 times)

burton19126 · **on:** Jun 27, 2018

A couple in their late 30s are pregnant for the first time. In evaluating the care delivered, the nurse assesses whether the mother: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. Makes appropriate healthcare choices.
2. Receives effective healthcare through the pregnancy.
3. Has a partner who is not interested in child care.
4. Cannot cope with her life change.
5. Wishes to have amniocentesis done.

Question 2

Which nursing actions can prevent or detect common side effects of epidural anesthesia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

1. Preloading the patient with a rapid infusion of IV fluids
2. Continuing the patient on p.o. fluids only to prevent hypotension
3. Monitoring the FHR for late deceleration and decrease in rate
4. Using intermittent FHR monitoring so the patient can use the birthing ball
5. Keeping the patient NPO after receiving the epidural

cdmart10 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1,2
Rationale 1: Expected outcomes of nursing care for a pregnant couple over 35 include the woman and her partner's being knowledgeable about the pregnancy and making appropriate healthcare choices.
Rationale 2: Expected outcomes of nursing care for a pregnant couple over 35 include receiving effective health care throughout the pregnancy, delivery, and postpartum period.
Rationale 3: An expected outcome of nursing care for a pregnant couple over 35 is that the woman and her partner will be able to provide child care.
Rationale 4: An expected outcome of nursing care for a pregnant couple over 35 is that the woman and her partner are able to cope with the pregnancy and its implications.
Rationale 5: Amniocentesis is a medical diagnostic tool, and is not evaluated as part of the nursing care.

Answer to Question 2

1,3
Rationale 1: Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion. Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
Rationale 2: Hypotension can be prevented by preloading with rapid IV infusion followed by continuous IV infusion.
Rationale 3: Variability of FHR and late decelerations can occur if maternal hypotension occurs. Continuing FHR monitoring is essential.
Rationale 4: Continuous FHR monitoring is essential.
Rationale 5: There is no reason for the patient to be NPO after receiving the epidural.