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Author Question: The nurse is working in an obstetrical clinic in an urban setting. The nurse knows that there are ... (Read 96 times)

jazziefee

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The nurse is working in an obstetrical clinic in an urban setting.
 
  The nurse knows that there are certain facts that affect the health care of this group of women, including: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Women who receive adequate prenatal care are less likely to develop preterm labor.
  2. Women who do not receive prenatal care are more likely to have low-birth-weight babies.
  3. A lack of prenatal care is a risk for infant morbidity and mortality.
  4. Women who do not receive prenatal care are at a greater risk for various illnesses.
  5. Women who do not receive prenatal care are more likely to have high-birth-weight babies.

Question 2

A client who is 11 weeks pregnant presents to the emergency department with complaints of dizziness, lower abdominal pain, and right shoulder pain. Laboratory tests reveal a beta-hCG at a lower-than-expected level for this gestational age.
 
  An adnexal mass is palpable. Ultrasound confirms no intrauterine gestation. The client is crying and asks what is happening. The nurse knows that the most likely diagnosis is an ectopic pregnancy. Which statement should the nurse include? 1. You're feeling dizzy because the pregnancy is compressing your vena cava.
  2. The pain is due to the baby putting pressure on nerves internally.
  3. The baby is in the fallopian tube; the tube has ruptured and is causing bleeding.
  4. This is a minor problem. The doctor will be right back to explain it to you.



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janeli

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Answer to Question 1

1,2,3,4
Rationale 1: Women who receive adequate prenatal care are less likely to develop severe complications, such as preterm labor.
Rationale 2: Women who do not receive adequate prenatal care are likely to have low-weight babies related to preterm labor.
Rationale 3: Lack of prenatal care is a risk for infant morbidity and mortality.
Rationale 4: Women who do not receive adequate prenatal care are at a greater risk for many illnesses that can negatively affect their pregnancies.
Rationale 5: This statement is not true, as women who do not receive prenatal will often have lower-weight babies.

Answer to Question 2

3
Explanation: 3. The woman who experiences one-sided lower abdominal pain or diffused lower abdominal pain, vasomotor disturbances such as fainting or dizziness, and referred right shoulder pain from blood irritating the subdiaphragmatic phrenic nerve is experiencing an ectopic pregnancy.





 

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