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Author Question: A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about ... (Read 70 times)

pragya sharda

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A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse informs her:
 
  1. You do not need to modify your exercising any time during your pregnancy..
  2. Stop exercising because it will harm the fetus..
  3. You may find that you need to modify your exercise to walking later in your pregnancy around the seventh month..
  4. Jogging is too hard on your joints; switch to walking now..

Question 2

Concerning the use of tocolytic therapy to suppress uterine activity, nurses should be aware that:
 
  1. the drugs can be given efficaciously up to the designated beginning of term at 37 weeks.
  2. there are no important maternal (as opposed to fetal) contraindications.
  3. its most important function is to afford the opportunity to administer antenatal glucocorticoids.
  4. if the patient develops pulmonary edema while on tocolytics, IV fluids should be given.



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diana chang

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Answer to Question 1

3
1. Incorrect. The nurse needs to inform the woman that she may need to decrease her exer-cise level as the pregnancy progresses.
2. Incorrect. Physical activity promotes a feeling of well-being in the pregnant woman. It improves circulation, promotes relaxation and rest, and counteracts boredom.
3. Correct. Typically, it is suggested that running be replaced with walking around the se-venth month of pregnancy.
4. Incorrect. Simple measures should be initiated to prevent injuries, such as warm-up and stretching exercises to prepare the joints for more strenuous exercise.

Answer to Question 2

3
1. Incorrect. Once the pregnancy has reached 34 weeks, the risks of tocolytic therapy out-weigh their benefits.
2. Incorrect. There are important maternal contraindications for tocolytic therapy.
3. Correct. Buying time for antenatal glucocorticoids to accelerate fetal lung development might be the best reason to use tocolytics.
4. Incorrect. Tocolytic-induced edema can be caused by IV fluids.





 

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