A pregnant client who has had a prior obstetric history of ...

[APUS57]

A pregnant client who has had a prior obstetric history of preterm labors is pregnant with her third child. The physician has ordered an fFN (fetal fibronectin) test. Which instructions should be given to the client related to this clinical test?
 
  a. Client must be NPO prior to testing.
  b. Blood work will be drawn every week to help confirm the start of preterm labor.
  c. Client should refrain from sexual activity prior to testing.
  d. A urine specimen will be collected for testing.

Question 2

An obstetric client has been identified as being high risk and so has had activities restrictions (placed on bed rest) placed on her until the end of the pregnancy. Currently, she is at 32 weeks' gestation and has two other children at home, ages 3 and 6.
 
  The client's husband works at home. A nursing diagnosis of Impaired home maintenance is noted. Which statement potentially identifies a long-term goal?
 
  a. The client and husband will be able to adapt their schedules accordingly to meet activities of daily living until the client's next scheduled antepartum visit the following week.
  b. The client and husband will hire a nanny to act as an additional caregiver for the next month.
  c. The client will continue to take care of her children at home, taking frequent rest periods.
  d. The client and husband will make arrangements for child care routine activity assistance for the rest of the pregnancy.

[jamesnevil303]

Answer to Question 1

ANS: C
Fetal fibronectin testing has a predictive value relative to the onset of preterm labor. A specimen is collected from the vaginal area. False-positive results can occur in response to excessive cervical manipulation, in the presence of bleeding, and as a result of sexual activity.

Answer to Question 2

ANS: D
A long-term goal is based on acknowledgment of prescribed clinical treatment conditions for the specified time frame. Planning for caregiving for the next week or month provide evidence of short-term goals. It is not realistic for the client to take care of her children at home with rest period because the client will not be maintaining the prescribed therapy regimen and thus may be at risk to further develop complications.