A client with a history of relapsing-remitting multiple sclerosis ...

[V@ndy87]

A client with a history of relapsing-remitting multiple sclerosis (MS) is expecting her first child. What would be indicated for this client?
 
  A) Suggest reproductive counseling.
  B) Instruct to expect a period of remission after delivery of the baby.
  C) Instruct to expect an exacerbation of symptoms while pregnant.
  D) Discuss pain control during labor, as contractions will be severe.

Question 2

A young adult client complains of blurred vision and muscle spasms that have come and gone over the past several months. On what information from the client's history should the nurse focus to help identify the specific problem?
 
  A) Family history of Parkinson disease
  B) Family history of epilepsy
  C) Is an immigrant from Germany
  D) Has been depressed

[mfedorka]

Answer to Question 1

Answer: A

A definite genetic factor has not been established; however, studies suggest that genetic factors make some individuals more susceptible to the disorder than others. Reproductive counseling would be recommended for this client. Pregnancy often brings about remission of multiple sclerosis, but with a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with multiple sclerosis is not severe, and because clients often have lessened sensation, labor may be almost painless.

Answer to Question 2

Answer: C

The client is exhibiting symptoms of multiple sclerosis (MS). MS is primarily a disease of people of northern European ancestry, such as a client of German descent. The onset of multiple sclerosis is usually between the ages of 20 and 50, with the peak at age 30. Family history of epilepsy, Parkinson disease, and depression are important items of the client's history but do not support a diagnosis of MS.

[V@ndy87]

TYSM

[bulacsom]

Excellent