Author Question: A prenatal nurse manager wants to help pregnant women in the clinic decrease their stress. Which ... (Read 94 times)

bcretired · **on:** Jun 28, 2018

A prenatal nurse manager wants to help pregnant women in the clinic decrease their stress. Which action by the manager would be best?

A.
Conduct childbirth preparation classes on site
B.
Display pictures of fetal development
C.
Institute primary nursing care for all patients
D.
Partner with a counseling service for referrals

Question 2

A nurse is working with a pregnant woman who has the nursing diagnosis of altered family processes. What statement by the patient indicates that a major goal for this diagnosis has been met?

A.
At least I'm getting better sleep now that I don't urinate every 2 hours.
B.
My husband has been doing more around the house so I can rest more.
C.
The kids are really excited about getting a new baby brother or sister.
D.
We finally have the nursery painted and furnished so it's ready for baby.

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

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.