A patient at 36-weeks' gestation is complaining of dyspnea when ...

[dejastew]

A patient at 36-weeks' gestation is complaining of dyspnea when lying flat. The clinical reason for this complaint is:
 
  1. Maternal hypertension.
  2. Fundal height.
  3. Hydramnios.
  4. Congestive heart failure.

Question 2

The nurse teaching a group of new mothers explains that barrier methods of contraception are appropriate if the woman: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Just started an oral contraceptive.
  2. Is opposed to systemic medications.
  3. Is lactating.
  4. Is unconcerned about using contraception.
  5. Does not smoke and is perimenopausal.

[Jordin Calloway]

Answer to Question 1

2
Rationale 1: It is unlikely that the woman is hypertensive.
Rationale 2: The dyspnea is resulting from the pressure of the enlarging uterus on the diaphragm
Rationale 3: It is unlikely that the woman has hydramnios.
Rationale 4: It is unlikely that the woman has congestive heart failure.

Answer to Question 2

1,2,3,5
Rationale 1: A backup method of contraception is needed for a period of time when beginning oral contraceptives.
Rationale 2: Opposition to taking systemic medications or chemicals is a reason to use barriers for contraception.
Rationale 3: Using a barrier method of contraception is appropriate in the early postpartum period or when lactating.
Rationale 4: A woman who is unconcerned about contraception would not use any method.
Rationale 5: Being perimenopausal and smoking make barrier contraception an appropriate choice.

[dejastew]

TYSM

[kthug]

Gracias!