TESTBANK- Introduction to Maternity and Pediatric Nursing 9th Edition Chapter 4,5,6,7 & 8.

TESTBANK- Introduction to Maternity and Pediatric Nursing 9th Edition Chapter 4,5,6,7 & 8.

Chapter 4 : Prenatal Care And Adaptations During Pregnancy
In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant
notices that the fetal heart rate (FHR) has dropped to 120 beats/min froma rate of 160beats/min earlier in the pregnancy. What is the nurses first action?
a. Ask if the patient has taken a sedative. b. Notify the physician. c. Turn the patient to her right side. d. Record the rate as a normal finding. ANS: D
The FHR at term ranges from a low of 110 to 120 beats/min to a high of 150 to 160beats/min. This should be recorded as normal. The FHR drops in the late stages of
pregnancy. A womans prepregnant weight is determined to be average for her height. What will thenurse advise the woman regarding recommended weight gain during pregnancy?
a. 10 to 20 pounds
b. 15 to 25 pounds
c. 25 to 35 pounds
d. 28 to 40 pounds
ANS: C
The recommended weight gain for a woman of normal weight before pregnancyis 25to35 pounds.
When the nurse tells a pregnant woman that she needs 1200 mg of calciumdailyduringpregnancy, the woman responds, I dont like milk. What dietary adjustments couldthenurse recommend?
a. Increase intake of organ meats. b. Eat more green leafy vegetables. c. Choose more fresh fruits, particularly citrus fruits. d. Include molasses and whole-grain breads in the diet. ANS: B
For women who do not like milk, other sources of calcium include enriched cereals, legumes, nuts, dried fruits, green leafy vegetables, and canned salmon and sardines that
contain bones. A pregnant woman is experiencing nausea in the early morning. What recommendationswould the nurse offer to alleviate this symptom?
a. Eat three well-balanced meals per day and limit snacks. b. Drink a full glass of fluid at the beginning of each meal. c. Have crackers handy at the bedside, and eat a few before getting out of bed. d. Eat a bland diet and avoid concentrated sweets. ANS: C
The nurse can recommend eating dry toast or crackers before getting out of bed inthemorning to alleviate nausea during pregnancy. The patient who is 28 weeks pregnant shows a 10-pound weight gain from2 weeks ago. What is the nurses initial action?
a. Assess food intake. b. Weigh the patient again. c. Take the blood pressure. d. Notify the physician. ANS: C
The marked weight gain may be an indication of gestational hypertension. The bloodpressure should be assessed before notifying the physician. The patient remarks that she has heard some foods will enhance brain development of thefetus. The nurse replies that foods high in docosahexaenoic acid (DHA) are thought toenhance brain development. What food can the nurse recommend?
a. Fried fish
b. Olive oil
c. Red meat
d. Leafy green vegetables
ANS: C
Foods rich in DHA are red meat, flounder, halibut, and soybean and canola oil. Fryingfish negatively alters the DHA.
The nurse encourages adequate intake of folic acid for women of childbearing age beforeand during pregnancy. What is folic acid thought to decrease the incidence of in fetal
development?
a. Structural heart defects
b. Craniofacial deformities
c. Limb deformities
d. Neural tube defects
ANS: D
Folic acid can reduce the incidence of neural tube defects such as spina bifida andanencephaly.

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