To reassure and educate pregnant patients about the functioning ...

[2125004343]

To reassure and educate pregnant patients about the functioning of their kidneys in eli-minating waste products, maternity nurses should be aware that:
 
  a. Increased urinary output makes pregnant women less susceptible to urinary infec-tion.
  b. Increased bladder sensitivity and then compression of the bladder by the enlarg-ing uterus results in the urge to urinate even if the bladder is almost empty.
  c. Renal (kidney) function is more efficient when the woman assumes a supine po-sition.
  d. Using diuretics during pregnancy can help keep kidney function regular.

Question 2

After giving birth to a stillborn infant, the woman turns to the nurse and says, I just fi-nished painting the baby's room. Do you think that caused my baby to die? The nurse's best response to this woman is:
 
  a. That's an old wives' tale; lots of women are around paint during pregnancy, and this doesn't happen to them.
  b. That's not likely. Paint is associated with elevated pediatric lead levels.
  c. Silence.
  d. I can understand your need to find an answer to what caused this. What else are you thinking about?

[Dnite]

Answer to Question 1

B

Feedback
A A number of anatomic changes make a pregnant woman more susceptible to urinary tract infection.
B First bladder sensitivity and then compression of the bladder by the uterus result in the urge to urinate more often.
C Renal function is more efficient when the woman lies in the lateral recumbent position and less efficient when she is supine.
D Diuretic use during pregnancy can overstress the system and cause problems.

Answer to Question 2

D
Feedback
A The nurse should resist the temptation to give advice or to use clichs in offering support to the bereaved. In addition, trying to give bereaved parents answers when no clear answers exist or trying to squelch their guilt feeling does not help the process of grief.
B Trying to give bereaved parents answers when no clear answers exist does not help the grief process. In addition, this response probably would increase the mother's feelings of guilt.
C One of the most important goals of the nurse is to validate the experience and feelings of the parents by encouraging them to tell their stories and listening with care. The nurse should encourage the mother to express her ideas.
D This statement is very appropriate for the nurse. It demonstrates caring and compassion and allows the mother to vent her thoughts and feelings, which is therapeutic in the process of grieving.

[2125004343]

Thanks for the timely response, appreciate it

[Missbam101]

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