The nurse is planning a prenatal education class for a group of ...

[tuffie]

The nurse is planning a prenatal education class for a group of women who are in their second trimester of pregnancy. Regarding the gestation of the pregnancy, which topics are considered most appropriate? Select all that apply.
 
  1. Preparation of breasts for breastfeeding.
  2. Fetal development.
  3. Warning signs to report.
  4. Psychologic concerns associated with becoming pregnant.
  5. Preterm labor signs.

Question 2

During a prenatal counseling session a client indicates concern about her potential HIV positive status.
 
  The client states she does not want to jinx the pregnancy by getting tested because if she is positive, so is the baby. Which statement by the nurse is indicated?
  1. You are right to avoid the stress of finding out you are HIV positive during the pregnancy.
  2. If you are HIV positive, your baby will also have HIV.
  3. Even if you do test HIV positive, preventive treatments have a good chance of providing protection for your baby.
  4. As long as you do not breastfeed and have a cesarean section, your baby will be protected.

[patma1981]

Answer to Question 1

Correct Answer: 2, 3, 5
Education is important during the pregnancy. Topics are best arranged to promote current concerns of the pregnant woman and her family. Each educational opportunity should include information concerning fetal development and warning signs to report. The second trimester is a period in which preterm labor becomes an increasing risk factor and should be discussed with the client. The preparation of breasts for breastfeeding is a topic that is best presented during the third trimester. The client is most interested in discussing the psychologic concerns associated with pregnancy during the first trimester.

Answer to Question 2

Correct Answer: 3
While testing during pregnancy may be stressful to the mother, the potential benefits are immeasurable. The highest priority for the nurse is to provide education concerning the benefits of prenatal testing. Prophylactic antiviral therapies can significantly reduce the incidence of transmission between mother and baby during the pregnancy. Without treatment, the risk of transmission to the baby is greatest. Although breastfeeding and a cesarean section delivery will reduce the rate of transmission, they are not 100 effective tools of prevention.