The client has undergone an ultrasound, which estimated fetal ...

[EAugust]

The client has undergone an ultrasound, which estimated fetal weight at 4500 g (9 pounds 14 ounces). Which statement indicates that additional teaching is needed?
 
  1. Because my baby is big, I am at risk for excessive bleeding after delivery.
  2. Because my baby is big, his blood sugars could be high after he is born.
  3. Because my baby is big, my perineum could experience trauma during the birth.
  4. Because my baby is big, his shoulders could get stuck and a collarbone broken.

Question 2

A patient at 34 weeks' gestation complains about pyrosis. The nurse teaches the patient that approaches to relieve the pyrosis include: Note: Credit will be given only if all correct and no incorrect choices are selected.
 
  Select all that apply. 1. Eat small, frequent meals.
  2. Use high-sodium antacids.
  3. Avoid fried, fatty foods.
  4. Take sodium bicarbonate after meals.
  5. Do not lie down after eating.

[lkanara2]

Answer to Question 1

2
Explanation: 2. Hypoglycemia, not hyperglycemia, is a potential complication experienced by a macrosomic fetus.

Answer to Question 2

1,3,5
Rationale 1: Pyrosis (heartburn) can be relieved by eating small, more frequent meals.
Rationale 2: Highsodium content antacids should be avoided.
Rationale 3: Avoiding fatty, fried foods can relieve pyrosis.
Rationale 4: Sodium bicarbonate should be avoided.
Rationale 5: Sitting up after meals will help decrease the pyrosis.

[EAugust]

Excellent

[ttt030911]

TYSM