Answer to Question 1
1
Rationale:
1. A diet containing 3,500 kcal (minimum) and 175 g protein is recommended for a woman with normal-weight twins. Teaching about protein sources facilitates adequate fetal growth.
2. Pre-eclampsia is not diagnosed until the 20th week of gestation. This client is only at 18 weeks. Further, blood pressure can be assessed in either arm when the client is in a sitting position; in a side-lying position, the blood pressure should be assessed in the upper arm.
3. Although the incidence of multifetal pregnancy is higher in pregnancies resulting from infertility treatment than in those resulting from spontaneous pregnancies, the cause of the multifetal pregnancy does not impact nursing care.
4. Preterm labor is not diagnosed until 20 weeks. This client is only at 18 weeks. Fetal fibronectin (fFN) testing is not indicated at this time.
Answer to Question 2
3
Rationale:
1. Abruptio placentae is associated with excessive intrauterine pressure, and can be caused by alcohol and cigarette use, increased age, and increased parity.
2. Abruptio placentae is associated with excessive intrauterine pressure, and can be caused by alcohol and cigarette use, increased age, and increased parity.
3. Abruptio placentae is associated with excessive intrauterine pressure, and can be caused by alcohol and cigarette use, increased age, and increased parity.
4. Abruptio placentae is associated with excessive intrauterine pressure, and can be caused by alcohol and cigarette use, increased age, and increased parity.