The nurse is caring for a prenatal patient. Reviewing the ...

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The nurse is caring for a prenatal patient. Reviewing the patient's pregnancy history, the nurse identifies risk factors for an at-risk newborn, including: Note: Credit will be given only if all correct choices and no incorrect choices are
 
  selected. Select all that apply. 1. The mother's low socioeconomic status.
  2. Maternal age of 26.
  3. Mother's exposure to toxic chemicals.
  4. More than three previous deliveries.
  5. Maternal hypertension.

Question 2

The nurse is sitting with a patient in labor who practices meditation. The nurse understands from this that:
 
  1. The patient is very religious, and is practicing her religion.
  2. The patient tries to let all thoughts fade away and listen receptively in a state of not knowing.
  3. The patient is in a state of intense, focused concentration used to create compelling mental images.
  4. The patient relaxes and focuses on a positive or soothing scene.

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Answer to Question 1

1,3,4,5
Rationale 1: Low income or educational level is associated with low-birth-weight infants and intrauterine growth retardation.
Rationale 2: This age is not a risk factor.
Rationale 3: Environmental hazards are associated with low birth weight, decreased placental perfusion, IUGR, and congenital anomalies.
Rationale 4: Multiparity greater than three is associated with increased risk of fetal death, IUGR, anemia, and hypoxia.
Rationale 5: Preexisting maternal conditions such as hypertension are a risk factor.

Answer to Question 2

2
Rationale 1: Meditation has no correlation with religion. Many persons use meditation to relax.
Rationale 2: This is correct for meditation. One tries to get rid of all thoughts and listen receptively.
Rationale 3: Attaining a state of focused concentration to create compelling mental images is the practice of guided imagery.
Rationale 4: Focusing on a positive or soothing scene is the practice of visualization.