A 15-year-old primipara at 8 weeks' gestation who is 64 inches ...

[lilldybug07]

A 15-year-old primipara at 8 weeks' gestation who is 64 inches tall and weighs 115 pounds asks why she is supposed to gain so much weight. What is the best response by the nurse?
 
  1. Inadequate weight gain delays lactation after delivery.
  2. It's what your certified nursemidwife recommended for you.
  3. Weight gain is important to assure that you get enough vitamins.
  4. Gaining 25 to 35 pounds is recommended for healthy fetal growth.

Question 2

The nurse is preparing teaching for a pregnant client with a history of preterm labor. What information should the nurse specifically provide regarding sexual activity? Select all that apply.
 
  1. Avoid intercourse.
  2. Avoid nipple stimulation.
  3. Avoid intercourse if vaginal bleeding occurs.
  4. Avoid intercourse after the membranes rupture.
  5. There are no restrictions to intercourse during pregnancy.

[ntsoane kedibone]

Answer to Question 1

4
Explanation:
1. Inadequate weight gain can lead to decreased fetal growth and development.
2. Although this statement might be true, the client has asked a why question that should be directly answered.
3. Vitamin intake is related to the types of food consumed, not to caloric intake. Because this client is 15, her diet is probably not optimal, and her intake of empty calories or junk food might make up the majority of her caloric intake.
4. Adolescents who become pregnant less than 4 years after menarche are at risk because of their physiologic and anatomic immaturity. They are more likely than older adolescents to still be growing, which can affect the fetus's development.

Answer to Question 2

1, 2
Explanation:
1. Women with a history of preterm labor may be advised to avoid intercourse because the oxytocin that is released with orgasm stimulates uterine contractions and may trigger preterm labor.
2. Because oxytocin is also released with nipple stimulation, fondling the breasts may also be contraindicated in women with a history of preterm labor.
3. All pregnant women should be instructed to avoid intercourse if vaginal bleeding occurs.
4. All pregnant women should be instructed to avoid intercourse after the membranes rupture.
5. Women with a history of preterm labor may be advised to avoid intercourse because the oxytocin that is released with orgasm stimulates uterine contractions and may trigger preterm labor.