Lina is an 18-year-old woman at 20 weeks gestation. This is her first pregnancy. Lina is complaining of fatigue and listlessness. Her vital signs are within a normal range: BP = 118/60, pulse = 70 and respiratory rate 16 breaths per minute.
Lina's fundal height is at the umbilicus and she states that she is beginning to feel fetal movements. Her weight gain is 25 pounds over the pre-pregnant weight (110 lb.) and her height is 5'4. The perinatal nurse's best approach to care at this visit is to:
A) Ask Lina to keep a 3-day food diary to bring in to her next visit in 1 weeks time.
B) Explain to Lina that weight gain is not a concern in pregnancy and she should not worry.
C) Teach Lina about the expected normal weight gain during pregnancy (approximately 20 pounds by 20 weeks gestation).
D) Explain to Lina the possible concerns related to excessive weight gain in pregnancy including the risk of gestational diabetes.
Question 2
After a nurse teaches a group of students about Grantley Dick-Read and his view of childbirth, which of the following, if identified by the students as an activity advocated by Dick-Read, indicates that the teaching was successful?
A) Controlled breathing
B) Physical exercises
C) Abdominal stroking
D) Pressure point application
Roe deer fawn, two to three weeks old.
18 weeks old human fetus
Rupture of membranes before the 37th week of pregnancy
Integumentary changes in pregnancy: Striae
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