A woman pregnant with her first child tells the nurse that her ...

[SGallaher96]

A woman pregnant with her first child tells the nurse that her husband slapped her across the face several times because his dinner was not ready. She stated that previous to this episode, he had never hit her. The nurse should tell the client,
 
  a. This is probably just an isolated incident.
  b. Abuse often begins during a woman's first pregnancy.
  c. What did you do to provoke him?
  d. Give me your husband's work number so I can talk to him.

Question 2

Maternal phenylketonuria (PKU) is an important health concern during pregnancy be-cause:
 
  a. It is a recognized cause of preterm labor.
  b. The fetus may develop neurologic problems.
  c. A pregnant woman is more likely to die without dietary control.
  d. Women with PKU are usually retarded and should not reproduce.

[tranoy]

Answer to Question 1

B
Due to the increased stress that accompanies pregnancy, abuse often begins during a woman's first pregnancy. Abuse is seldom an isolated incident. Asking the woman, What did you do to provoke him? is not a question fostering client advocacy; it implies the woman caused the abuse. Attempting to handle this situation by asking for the husband's work number is inappropriate.

Answer to Question 2

B

Feedback
A Maternal PKU has no effect on labor.
B Children born to women with untreated PKU are more likely to be born with mental retardation, microcephaly, congenital heart disease, and low birth weight.
C Women without dietary control of PKU are more likely to miscarry or bear a child with congenital anomalies.
D Screening for undiagnosed maternal PKU at the first prenatal visit may be war-ranted, especially in individuals with a family history of the disorder, with low intelligence of uncertain etiology, or who have given birth to microcephalic in-fants.

[SGallaher96]

Thank you

[tranoy]

Happy to help you