The nurse is concerned that a pregnant patient is developing ...

[ssal]

The nurse is concerned that a pregnant patient is developing hydramnios. What did the nurse assess in this patient? (Select all that apply.)
 
  A) Tense uterus
  B) Sudden weight loss
  C) Extreme shortness of breath
  D) Difficulty hearing fetal heart rate
  E) Uterus larger than expected for gestation week

Question 2

The nurse is preparing discharge instructions for a pregnant patient experiencing preterm rupture of membranes. What should the nurse include in this teaching? (Select all that apply.)
 
  A) Avoid douching.
  B) Resume regular coitus.
  C) Take a tub bath at least once per day.
  D) Expect malodorous vaginal discharge.
  E) Measure oral temperature twice a day.

[TINA]

Answer to Question 1

A, C, D, E
Feedback:
Hydramnios is an excessive amount of amniotic fluid. The first sign of this disorder may be a rapid enlargement of the uterus. The uterus becomes tense, and the patient experiences shortness of breath because of the uterus pressing on the diaphragm. Auscultating the fetal heart rate can be difficult because of depth of the increased amount of fluid surrounding the fetus. The uterus will be larger than expected for the patient's gestational week.

Answer to Question 2

A, E
Feedback:
The patient with premature rupture of membranes is at risk for developing an infection. The nurse should instruct the patient to avoid douching and measure oral temperature twice a day. Coitus and tub baths should be avoided because these could introduce an infection into the uterus. A malodorous vaginal discharge could indicate infection and should be reported to the health care provider.