The nurse is preparing to instruct a pregnant patient with a ...

[fbq8i]

The nurse is preparing to instruct a pregnant patient with a history of tuberculosis on care needed while pregnant. What should the nurse include when teaching this patient?
 
  A) Maintain a high vitamin C intake.
  B) Maintain a high intake of calcium.
  C) Be prepared to have the child by cesarean birth.
  D) Avoid contracting an upper respiratory infection.

Question 2

A patient with heart disease who is 28 weeks pregnant asks the nurse why office appointments have been scheduled every week for the next 4 weeks. What should the nurse respond to the patient?
 
  A) This is the routine schedule for all pregnant patients.
  B) This is when most patients have a risk of going into early labor.
  C) During weeks 28 and 32, blood volume peaks, and heart function can be affected.
  D) Extra care is needed to make sure the fetus is developing normally during this time period.

[huda]

Answer to Question 1

B
Feedback:
A patient who had tuberculosis earlier in life must be especially careful to maintain an adequate level of calcium during pregnancy to ensure the calcium tuberculosis pockets in the lungs are not broken down and the disease reactivated. A high vitamin C intake is not indicated for this patient's health history. Pushing during labor might cause calcified tuberculosis pockets in the lungs to break, but this does not mean that all patients with a history of tuberculosis have to have cesarean deliveries. All pregnant patients should be instructed to avoid upper respiratory infections.

Answer to Question 2

C
Feedback:
The danger of pregnancy in a patient with heart disease occurs primarily because of this increase in circulatory volume. The most dangerous time for the patient is in weeks 28 to 32, just after the blood volume peaks. Weekly appointments are not routine for all pregnant patients at this part of the pregnancy. This is not the time when most patients have a risk of going into early labor. The extra appointments are not needed to make sure the fetus is developing normally during this time period.

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Thank you

[huda]

No problemo