A 22-year-old woman pregnant with a single fetus has a ...

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A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24 . When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
 
  a. This weight gain indicates possible gestational hypertension.
  b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR).
  c. This weight gain cannot be evaluated until the woman has been observed for sev-eral more weeks.
  d. The woman's weight gain is appropriate for this stage of pregnancy.

Question 2

A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. The nurse should explain that this is
 
  a. A sign the child is spoiled
  b. A way to exert unhealthy control
  c. Regression, common at this age
  d. Ritualism, common at this age

[kaykay69]

Answer to Question 1

D

Feedback
A Although this is an accurate statement, it does not apply to this patient. The de-sirable weight gain during pregnancy varies among women. The primary factor to consider in making a weight gain recommendation is the appropriateness of the pre-pregnancy weight for the woman's height. A commonly used method of evaluating the appropriateness of weight for height is the BMI. This woman has gained the appropriate amount of weight for her size at this point in her preg-nancy.
B Although this is an accurate statement, it does not apply to this patient. The de-sirable weight gain during pregnancy varies among women. The primary factor to consider in making a weight gain recommendation is the appropriateness of the pre-pregnancy weight for the woman's height. A commonly used method of evaluating the appropriateness of weight for height is the BMI. This woman has gained the appropriate amount of weight for her size at this point in her preg-nancy.
C Weight gain should take place throughout the pregnancy. The optimal rate of weight gain depends on the stage of the pregnancy.
D This is an accurate statement. This woman's BMI is in the normal range. During the first trimester, the average total weight gain is only 1 to 2.5 kg.

Answer to Question 2

D
Feedback
A This is not indicative of a child who has unreasonable expectations, but rather
normal development.
B Toddlers use ritualistic behaviors to maintain necessary structure in their lives.
C This is not regression, which is a retreat from a present pattern of functioning.
D The child is exhibiting the ritualism that is characteristic at this age. Ritualism is
the need to maintain the sameness and reliability. It provides a sense of comfort
to the toddler. It will dictate certain principles in feeding practices, including
rejecting a favorite food because it is served in a different container.

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[xiazhe]

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