A client with a history of relapsing-remitting multiple sclerosis ...

[azncindy619]

A client with a history of relapsing-remitting multiple sclerosis is expecting her first child. Which of the following would be indicated for this client?
 
  1. Instruct to expect an exacerbation of symptoms while pregnant
   2. Discuss pain control during labor since contractions will be severe
   3. Suggest reproductive counseling since multiple sclerosis is genetic
   4. Instruct to expect a period of remission after delivery of the baby

Question 2

The nurse is planning care for a client recovering from injuries sustained in a gang fight. Which of the following should be included in this client's plan of care?
 
  1. Methods to reduce anger other than force or physical violence
   2. Monitor intake and output
   3. Employment counseling
   4. Need for adequate rest and physical activity

[amynguyen1221]

Answer to Question 1

3. Suggest reproductive counseling since multiple sclerosis is genetic

Rationale:
Since there is increased evidence of a genetic predisposition for multiple sclerosis, reproductive counseling is recommended. Pregnancy often brings about remission of multiple sclerosis, but with a slightly increased relapse rate postpartum. The strength of uterine contractions in a client with multiple sclerosis is not severe, and because clients often have lessened sensation, labor may be almost painless.

Answer to Question 2

1. Methods to reduce anger other than force or physical violence

Rationale:
The nurse should plan to provide methods to reduce anger other than force or physical violence since the client is recovering from injuries sustained in a gang fight. The client may or may not need intake and output monitored; this will depend upon the injuries. The client may not be old enough for employment counseling. Adequate rest and physical activity are important for all clients.

[azncindy619]

Thank you!

[amynguyen1221]

Always glad to help...