When preparing nutritional instruction, which of the following ...

[serike]

When preparing nutritional instruction, which of the following pregnant clients would the nurse consider highest priority?
 
  1. 40-year-old gravida 2
  2. 22-year-old primigravida
  3. 35-year-old gravida 4
  4. 15-year-old nulligravida

Question 2

Which patient would the nurse document as exhibiting signs and symptoms of primary dysmenorrhea?
 
  1. 17-year-old, has never had a menstrual cycle
  2. 16-year-old, had regular menses for four years, but has had no menses in four months
  3. 19-year-old, regular menses for five years that have suddenly become painful
  4. 14-year-old, irregular menses for one year, experiences cramping every cycle

[Yixagurpuldink]

Answer to Question 1

4

Rationale:
1. The 40-year-old has completed her growth cycle, and her body can focus on diverting the nutritional needs to the fetus.
2. The 22-year-old has completed her growth cycle, and her body can focus on diverting the nutritional needs to the fetus.
3. The 35-year-old has completed her growth cycle, and her body can focus on diverting the nutritional needs to the fetus.
4. Adolescent clients typically are still in their own growth cycle. Suddenly, they have to supply nutrition for themselves and the fetus. This places them at greatest risk for malnutrition.

Answer to Question 2

4
Rationale:
1. This is primary amenorrhea, or the lack of menses.
2. Secondary amenorrhea is the term used when a client has had regular cycles that cease.
3. Secondary dysmenorrheal is the sudden onset of pain and discomfort with menses.
4. Primary dysmenorrhea is when menstruation has been painful from the first menstrual cycle, and consistently continues to be painful each month.