A 27-year-old pregnant woman had a preconceptual body mass index ...

[kshipps]

A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0 . The nurse knows that this woman's total recommended weight gain during pregnancy should be at least:
 
  a. 20 kg (44 lb).
  b. 16 kg (35 lb).
  c. 12.5 kg (27.5 lb).
  d. 10 kg (22 lb).

Question 2

An infant is in the hospital for hypernatremia. Which of the following is the most appropriate means of collecting urine for a specific gravity test?
 
  1. Placing cotton balls in the diaper and then (wearing gloves) squeezing a drop of urine from the cotton balls onto the specific gravity test strip
  2. Performing a sterile in-and-out catheterization to collect urine for the specific gravity test strip
  3. Placing a urine collection bag on the infant
  4. Inserting a Foley catheter to obtain a sterile urine specimen for the specific gravity test strip

[lorealeza77]

Answer to Question 1

C

Feedback
A This weight gain would be unhealthy for most women. This woman has a normal BMI and should gain 11.5 to 16 kg during pregnancy.
B This is the high end of the range of weight this woman should gain in her preg-nancy.
C This woman has a normal BMI and should gain 11.5 to 16 kg during pregnancy.
D This weight gain would be appropriate for an obese woman. This woman has a normal BMI, which indicates that her weight is average.

Answer to Question 2

1
Rationale:
1. Urine for a specific gravity test should be collected by placing cotton balls in the diaper. Only a small amount of clean (uncontaminated from stool) urine is needed to do a specific gravity test.
2. An in-and-out catheter would be invasive for this clean collection of a small amount of urine.
3. A urine bag can be irritating to the skin and would not be appropriate for collecting a small amount of urine for a specific gravity test.
4. A Foley catheter would be invasive for this clean collection of a small amount of urine.

[kshipps]

Excellent

[Liddy]

TYSM