Author Question: The nurse has been teaching a pregnant woman at 32 weeks' gestation about signs and symptoms of ... (Read 37 times)

tuffie · **on:** Jun 28, 2018

The nurse has been teaching a pregnant woman at 32 weeks' gestation about signs and symptoms of gestational hypertension and potential warning signs of possible complications. The nurse recognizes the need for further teaching when the woman states:

a. I will weigh myself every morning after voiding, before breakfast, and call my care provider if I notice a gain of 1 lbs or more in 1 week.
b. If I have any vision changes, I will notify my care provider.
c. If I have a headache, I will take some acetaminophen.
d. I will count my baby's kicks twice a day in the morning and evening.

Question 2

During an assessment of an infant born to an intravenous drug abuser, the nurse should recognize which sign(s) and/or symptom(s) as indicative of drug withdrawal?

a. Plethora and a high-pitched, shrill cry
b. Jaundice and sneezing 3 days after delivery
c. Tremor and hyperactive reflexes
d. Restlessness and seedy, yellow-brown stools

nguyenhoanhat · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
In early gestational hypertension, if the woman is well informed and able to carry out the medical and nursing instructions (e.g., report headaches, visual disturbances, epigastric pain), management may be provided on an outpatient basis. Daily weights and fetal kick counts are appropriate home care.

Answer to Question 2

ANS: C
Clinical manifestations of withdrawal in a neonate reflect autonomic nervous system hyperirritability, including tremor; restlessness; sneezing; hyperactive reflexes; and a high-pitched, shrill cry. Plethora is typically associated with maternal diabetes. Jaundice is a common finding with hyperbilirubinemia. Seedy, yellow-brown stools are normal for a neonate.