The prenatal clinic nurse is caring for a 15-year-old primiparous ...

[jCorn1234]

The prenatal clinic nurse is caring for a 15-year-old primiparous patient who is at 8 weeks' gestation. The patient asks the nurse why she is supposed to gain so much weight. What is the best response by the nurse?
 
  1. Gaining 2535 pounds is recommended for healthy fetal growth.
  2. It's what your certified nursemidwife recommended for you.
  3. Inadequate weight gain delays lactation after delivery.
  4. Weight gain is important to ensure that you get enough vitamins.

Question 2

The nurse is providing postpartum care to an obese patient. As part of care for this patient, the nurse should: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Apply sequential compression devices.
  2. Have the mother ambulate as early as possible.
  3. Encourage bottle-feeding over breastfeeding.
  4. Supervise breastfeeding.
  5. Instruct the patient on signs of infection.

[kjohnson]

Answer to Question 1

1
Rationale 1: For an appropriate-weight woman, 2535 pounds of weight gain is recommended for optimal fetal growth and development.
Rationale 2: Although this statement might be true, the patient has asked a why question that should be directly answered.
Rationale 3: Inadequate weight gain can lead to decreased fetal growth and development.
Rationale 4: Vitamin intake is related to the types of food consumed, not to caloric intake. Because this patient is 15, her diet is probably not optimal, and empty calories and/or junk food might make up the majority of her calorie intake.

Answer to Question 2

1,2,4,5
Rationale 1: SCDs help prevent deep vein thrombosis, for which this patient is at risk.
Rationale 2: Early ambulation helps prevent deep vein thrombosis, for which this patient is at risk.
Rationale 3: There is no reason bottle-feeding would be a better choice for an obese patient.
Rationale 4: The nurse should monitor the new mother when breastfeeding to ensure the newborn's safety.
Rationale 5: The obese postpartum patient is at great risk for infection.