Which client could safely be cared for by a certified ...

[jrubin]

Which client could safely be cared for by a certified nurse-midwife?
 
  a. Gravida 3, para 2, with no complications
  b. Gravida 1, para 0, with mild hypertension
  c. Gravida 2, para 1, with insulin-dependent diabetes
  d. Gravida 1, para 0, with borderline pelvic measurements

Question 2

Martha is a gravida 3, para 2, whose last child was born 5 years ago. She attended childbirth preparation classes with her first pregnancy. Which class would be most appropriate for her?
 
  a. Refresher course
  b. Infant care classes
  c. Postpartum classes
  d. Early pregnancy classes

[IRincones]

Answer to Question 1

ANS: A
A certified nurse-midwife (CNM) cares for women who are at low risk for complications. The CNM would not care for a woman with hypertension. The CNM would not care for a woman with insulin-dependent diabetes. The CNM would not care for a woman with borderline pelvic measurements.

Answer to Question 2

ANS: A
When 2 or more years elapse between a prepared childbirth class and a subsequent pregnancy, a refresher course is recommended to provide couples with an update on new developments and to review techniques. Infant care classes cover the basics of infant care, with which she is familiar. She has experienced the postpartum period so this class would not be as beneficial as a refresher class. Early pregnancy classes cover information on adapting to pregnancy, dealing with discomforts such as morning sickness and fatigue, and understanding what to expect in the months ahead.

[jrubin]

Thank you

[IRincones]

Happy to help you