A patient who is 7 months pregnant states, I'm worried that ...

[vinney12]

A patient who is 7 months pregnant states, I'm worried that something will happen to my baby. The nurse's best response is
 
  a. There is nothing to worry about.
  b. The doctor is taking good care of you and your baby.
  c. Tell me about your concerns.
  d. Your baby is doing fine.

Question 2

Despite popular belief, there is a rare type of hemophilia that affects women of child-bearing age. Von Willebrand disease is the most common of the hereditary bleeding dis-orders and can affect males and females alike.
 
  It results from a factor VIII deficiency and platelet dysfunction. Although factor VIII levels increase naturally during pregnancy, there is an increased risk for postpartum hemorrhage from birth until 4 weeks after delivery as levels of von Willebrand factor (vWf) and factor VIII decrease. The treatment that should be considered first for the patient with von Willebrand disease who experiences a postpartum hemorrhage is: a. Cryoprecipitate.
  b. Factor VIII and vWf.
  c. Desmopressin.
  d. Hemabate.

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Answer to Question 1

C
Feedback
A This statement is belittling the patient's concerns.
B This statement is belittling the patient's concerns by telling her she should not
worry.
C Encouraging the client to discuss her feelings is the best approach. Women
during their third trimester need reassurance that such fears are not unusual in
pregnancy.
D This statement disregards the patient's feelings and treats them as unimportant.

Answer to Question 2

C

Feedback
A Cryoprecipitate may be used; however, because of the risk of possible donor viruses, other modalities are considered safer.
B Treatment with plasma products such as factor VIII and vWf are an acceptable option for this patient. Because of the repeated exposure to donor blood prod-ucts and possible viruses, this is not the initial treatment of choice.
C Desmopressin is the primary treatment of choice. This hormone can be admi-nistered orally, nasally, and intravenously. This medication promotes the release of factor VIII and vWf from storage.
D Although the administration of this prostaglandin is known to promote contrac-tion of the uterus during postpartum hemorrhage, it is not effective for the pa-tient who presents with a bleeding disorder.

[vinney12]

TYSM

[amandalm]

Thanks for the timely response, appreciate it