The nurse is providing care to a pregnant client who is ...

[2125004343]

The nurse is providing care to a pregnant client who is experiencing ptyalism. Which will the nurse include in the plan of care for this client?
 
  A) Use a cool-mist vaporizer
  B) Suck on hard candy
  C) Avoid use of nasal sprays and decongestants
  D) Use low-sodium antacids

Question 2

The nurse is providing care to a pregnant client and her spouse. The client requires an amniocentesis. Which client statement indicates appropriate understanding of the information presented?
 
  A) The test has to be done before the 14th week of pregnancy.
  B) If the test determines our baby has Down syndrome, we will not need to take childbirth classes.
  C) It is not unusual for amniocentesis to misdiagnose a problem with the baby.
  D) The results of the amniocentesis will take up to 2 weeks.

[bitingbit]

Answer to Question 1

Answer: B

Ptyalism is excessive, often bitter salivation that can occur during pregnancy. Appropriate interventions for this client include using astringent mouthwashes, chewing gum, or sucking on hard candy. A cool-mist vaporizer and avoiding nasal sprays and decongestants are appropriate interventions for nasal stuffiness and nosebleed (epistaxis). The use of low-sodium antacids is appropriate for pyrosis, or heartburn.

Answer to Question 2

Answer: D

For couples having an amniocentesis, the first few months of pregnancy can be difficult because the test cannot be performed until the 14th week of pregnancy, and not before. The results of the amniocentesis will not be available for up to 2 weeks, which is evidence that instruction regarding the test has been understood by the client and spouse. Childbirth classes are important in promoting adaptation to the event of childbirth for expectant couples of any age or situation. The results of an amniocentesis are 99 accurate in diagnosing genetic abnormalities.

[2125004343]

Excellent

[milbourne11]

TYSM