Author Question: A woman who is a Jehovah's Witness returns for a second prenatal visit and is discussing her plan of ... (Read 88 times)

segrsyd · **on:** Jun 28, 2018

A woman who is a Jehovah's Witness returns for a second prenatal visit and is discussing her plan of care with the nurse. The patient has returned a signed form in which she refuses all blood products. What action by the nurse is best?

A.
Advise the woman of potential complications.
B.
Inform the health-care provider of her choice.
C.
Place the signed form on the patient's chart.
D.
Refer the woman to a tertiary birthing center.

Question 2

A student asks what the phrase probable signs of pregnancy means. The instructor provides which answer?

A.
Objective signs seen by an examiner; can be from other conditions
B.
Objective signs seen by an examiner; only caused by pregnancy
C.
Subjective signs reported by the patient; can be from other conditions
D.
Subjective signs reported by the patient; only caused by pregnancy

matt95 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Patients who are Jehovah's Witnesses do not usually consent to the use of blood products. When working with a patient with these beliefs, the nurse should discuss all alternatives with the patient (including all types of blood products available) and send her home with a packet containing a consent form in which she details which (if any) blood products she will accept. This signed form should be available in three places: the patient should have a copy, a copy should be placed on her chart, and the hospital where she will give birth should also have a copy. Teaching potential complications related to the woman's choices should have already been done. Informing the health-care provider is important, but without a written document, this is not a complete action. Depending on patient, provider, and facility preferences, a patient who refuses blood products may need to be referred to another facility.

Answer to Question 2

ANS: A
Probable signs of pregnancy are objective signs observed by an examiner that usually result from physical changes in the reproductive system during pregnancy, but that can be caused by other conditions. They include abdominal enlargement, Piskacek's sign, Hegar's sign, Goodell's sign, Chadwick's sign, Braxton Hicks sign, a positive pregnancy test, and ballottement.