A postpartum client asks the nurse to weigh her. The nurse ...

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A postpartum client asks the nurse to weigh her. The nurse expects an initial weight loss of:
 
  1. 1012 pounds.
  2. 58 pounds.
  3. 1520 pounds.
  4. 1215 pounds.

Question 2

A nursing instructor has just completed a class on maternal screening tests. When asking the students about the components of the Quad Screen, which response by the students would indicate a need for further teaching? (Select all that apply.)
 
  a. Estriol d. hCG
  b. Inhibin-A e. MSAFP
  c. CVS f. NST

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Answer to Question 1

1
Rationale:
1. Ten to twelve pounds is the usual initial weight loss. This weight is lost with the birth of the infant and the expulsion of the placenta and the amniotic fluid.
2. Five to eight pounds might be the loss after a preterm birth.
3. Fifteen to twenty pounds might be the loss from a multiple birth.
4. Twelve to fifteen pounds is close, but does not match the usual weight of placenta, amniotic fluid, and full-term infant.

Answer to Question 2

C, F
The instructor would recognize that further teaching is needed if the students responded CVS or NST. The components of the Quad Screen include Estriol, Inhibin-A, hCG, and MSAFP.

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TYSM

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