A 22-year-old woman is experiencing her third pregnancy. Her ...

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A 22-year-old woman is experiencing her third pregnancy. Her obstetrical history includes one first-trimester elective abortion and one first-trimester spontaneous abortion.
 
  The patient is a semi-vegetarian who drinks milk and eats yogurt and fish as part of her daily intake. Which of the following should the nurse include in the patient's dietary teaching plan? (Select all that apply.)
  A.
  Consuming red meat
  B.
  Eating foods high in zinc
  C.
  Increasing calcium intake
  D.
  Restricting sodium
  E.
  Taking an iron supplement

Question 2

A nurse is conducting a class on the Lamaze method of childbirth. Which core values does this nurse plan to teach? (Select all that apply.)
 
  A.
  A woman's ability to give birth can be diminished by the care provider.
  B.
  Conscious breathing is the main coping strategy in Lamaze.
  C.
  Lamaze birthing is medication free and epidurals are not given.
  D.
  The birth coach is only present to provide comfort to the laboring woman.
  E.
  Women are capable of and have the wisdom to give birth.

[ecox1012]

Answer to Question 1

ANS: B, E
Semi-vegetarian diets include fish, poultry, eggs, and dairy products but no beef or pork. Pregnant women who adhere to this diet may consume inadequate amounts of iron and zinc. Most women cannot consume enough iron through their diets while pregnant, so an iron supplement should be suggested. The nurse can also educate the patient about foods high in zinc so that she can increase her intake. Although red meat does contain iron, consuming meat goes against the woman's chosen lifestyle and it would be disrespectful of the nurse to suggest this. Increasing calcium and restricting sodium intake are not helpful advice in this situation.

Answer to Question 2

ANS: A, B, E
The woman's innate ability to give birth, the use of conscious breathing as the main coping strategy, and the fact that the woman's confidence and ability to give birth can be either enhanced or diminished by the care provider and place of birth are some of the core concepts of the Lamaze method. Lamaze educators provide information on pain control and stress that each woman needs to make the decision about pain management that is best for her. Birth partners are taught to assess the woman for hyperventilation during the transition period of labor.

[debasdf]

Excellent

[epscape]

TYSM