Answer to Question 1
ANS: C
Women release oxytocin as a response to stress and when they engage in tend and befriend activities. Oxytocin appears to buffer the stress response and produces a calming effect. One strategy nurses can use to employ this physiological phenomenon is to provide continuity of care. Primary nursing, in which each patient is assigned a primary nurse who sees them at each visit, is an excellent choice to capture the benefits of this effect. The other options could all help reduce stress in some women and in some situations, but providing continuity of care could benefit all patients in the clinic.
Answer to Question 2
ANS: B
A major goal for this diagnosis is that the family recognizes the demands the pregnancy places on the woman and alters routines and activities to accommodate her. When the patient states that her husband is doing more around the house so she can rest more (a need in pregnancy), this shows resolution of the goal. The other statements are positive ones, but do not show family members adapting to new roles and responsibilities.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Stress
Nurse palpating the patient's brachial artery
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Oxidative stress
The nurse conveys attentive listening through a posture of involvement