The nurse is evaluating the plan of care for a pregnant patient ...

[LCritchfi]

The nurse is evaluating the plan of care for a pregnant patient with a heart disorder.
 
  The nurse concludes that the plan was successful when data indicate that the woman: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Gave birth to a healthy baby.
  2. Did not develop congestive heart failure.
  3. Developed thromboembolism.
  4. Identified manifestations of potential complications.
  5. Can identify her condition and its impact on her pregnancy, labor and birth, and postpartum period.

Question 2

In the operating room, a patient is being prepped for a cesarean delivery. The doctor is present. What is the last assessment the nurse should make just before the patient is draped for surgery?
 
  1. Maternal temperature
  2. Maternal urine output
  3. Vaginal exam
  4. Fetal heart tones

[kiamars2010]

Answer to Question 1

1,2,4,5
Rationale 1: Giving birth to a healthy baby is an expected outcome of the pregnancy.
Rationale 2: An expected outcome is that the woman does not develop congestive heart failure, thromboembolism, or infection.
Rationale 3: An expected outcome is that the woman does not develop congestive heart failure, thromboembolism, or infection.
Rationale 4: An expected outcome is that the woman is able to identify potential complications and notify the healthcare provider.
Rationale 5: The woman must be able to discuss her condition and its possible impact on her pregnancy, labor and birth, and the postpartum period.

Answer to Question 2

4
Rationale 1: The supine position would not cause an abnormality in maternal temperature.
Rationale 2: The supine position would not cause an abnormality in maternal urine output.
Rationale 3: There is no indication that a vaginal exam should be performed.
Rationale 4: Fetal heart tones are assessed just before the start of surgery because the supine position can lead to fetal hypoxia.