After reviewing a client's history, which factor would the nurse ...

[ENagel]

After reviewing a client's history, which factor would the nurse identify as placing her at risk for gestational hypertension?
 
  A) Mother had gestational hypertension during pregnancy.
  B) Client has a twin sister.
  C) Sister-in-law had gestational hypertension.
  D) This is the client's second pregnancy.

Question 2

A patient whose fetus is presenting breech is scheduled to have a cesarean birth. What should the nurse anticipate this patient will need to ensure maximum postoperative care?
 
  A) Bed rest for the first 4 days
  B) Insertion of a nasogastric tube
  C) Maintenance of an indwelling catheter
  D) Separation from the infant for 72 hours

[Tonyam972]

Answer to Question 1

A
Feedback:
A family history of gestational hypertension, such as a mother or sister, is considered a risk factor for the client. Having a twin sister or having a sister-in-law with gestational hypertension would not increase the client's risk. If the client had a history of preeclampsia in her first pregnancy, then she would be at risk in her second pregnancy.

Answer to Question 2

C
Feedback:
To reduce bladder size and keep the bladder away from the surgical field, an indwelling urinary catheter may be prescribed before transport for surgery or after arrival in the surgical suite. Because the bladder was handled and displaced during surgery, its tone or ability to sense filling may be inadequate to initiate voiding for the first postoperative day. For this reason, the indwelling catheter placed before surgery is usually left in place for 4 to 24 hours to ensure good urine drainage. The patient will not be on bed rest for 4 days after a cesarean birth. A nasogastric tube is not indicated for a cesarean birth. The infant will not be separated from the mother for 72 hours after a cesarean birth.

[ENagel]

Correct answers!

[Tonyam972]

Great! Please up vote