Concerning weight gain during pregnancy, maternity nurses should ...

[biggirl4568]

Concerning weight gain during pregnancy, maternity nurses should know that:
 
  1. in this case, the woman's height is not a factor in determining her target weight.
  2. obese women may have their health concerns, but their risk of giving birth to a child with major congenital defects is the same as that of normal weight women.
  3. women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR).
  4. greater than expected weight gain during pregnancy is almost always due primar-ily to overeating.

Question 2

A pregnant woman's amniotic membranes rupture. Prolapsed cord is suspected. Which of the following interventions would be the top priority?
 
  1. Place the woman in the knee-chest position.
  2. Cover the cord in sterile gauze soaked in saline.
  3. Prepare the woman for a cesarean birth.
  4. Start oxygen by face mask.

[sultana.d]

Answer to Question 1

3
1. Incorrect. The primary factor in making a weight gain recommendation is the appro-priateness of the prepregnancy weight for the woman's height.
2. Incorrect. Obese women are twice as likely as normal weight women to give birth to a child with major congenital defects.
3. Correct. IUGR is associated with women with inadequate weight gain.
4. Incorrect. Overeating is only one of several likely causes.

Answer to Question 2

1
1. Correct. The woman is assisted into a position such as a modified Sims', Trendelenburg, or knee-chest position in which gravity keeps the pressure of the presenting part off the cord.
2, 3, 4. Incorrect. These are all appropriate nursing interventions in the event of a prolapsed cord, but the intervention of top priority is placing the mother in a position to relieve cord compression.

[biggirl4568]

Excellent

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