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A nurse in an obstetrics office is reviewing a client’s medical record. The client is a 28-year-old female at 24 weeks gestation.

Exhibits

For each client finding, click to specify if the finding is a biophysical, psychosocial, or environmental risk factor that increases the client’s risk for pregnancy complications. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A.

Ultrasound result

B.

Caffeine intake

C.

Job (cashier)

D.

Pets (cats)

E.

Medical history (anemia)

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}

  1. Ultrasound Result
    • Biophysical: The ultrasound result indicating normal fetal growth and development provides biophysical information about the fetus's condition.
  2. Caffeine Intake
    • Biophysical: Consuming 2 cups of coffee daily affects the biophysical aspect, as excessive caffeine intake can potentially impact fetal development.
  3. Job (Cashier)
    • Psychosocial: Prolonged standing and work-related stress can contribute to psychosocial risk factors during pregnancy.
    • Environmental: The physical demands and environment of the job can increase the risk for complications.
  4. Pets (Cats)
    • Environmental: Having cats at home poses an environmental risk due to the potential exposure to Toxoplasma gondii, a parasite that can cause toxoplasmosis.
  5. Medical History (Anemia)
    • Biophysical: A history of mild anemia and current slightly low hemoglobin levels indicate biophysical risk factors that can impact pregnancy.


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Related Questions

Correct Answer is B

Explanation

Choice A rationale

Breastfeeding a newborn 6-8 times a day is insufficient. Newborns typically need more frequent feedings to ensure adequate nutrition and growth, generally more than 8 times.

Choice B rationale

Newborns should be breastfed 8-12 times in a 24-hour period. This frequent feeding ensures they receive enough nutrients, helps establish milk supply, and supports healthy growth.

Choice C rationale

Feeding 10-14 times a day can be appropriate for some newborns but may not be necessary for all. The standard recommendation is 8-12 times, balancing nourishment and mother's comfort.

Choice D rationale

Breastfeeding 12-16 times a day is excessive and may cause maternal fatigue and discomfort. The general guideline of 8-12 times is sufficient to meet a newborn's nutritional needs.

Correct Answer is D

Explanation

Choice A rationale

Multiple gestation increases pregnancy risks but is not directly linked to cervical insufficiency, which involves premature cervical dilation leading to preterm birth or loss without uterine contractions.

Choice B rationale

Advanced maternal age presents various pregnancy risks, including chromosomal abnormalities and hypertension, but is not a primary risk factor for cervical insufficiency, which involves cervical structural issues.

Choice C rationale

A history of preterm labor involves previous early deliveries but does not specifically indicate cervical insufficiency, which is characterized by painless cervical dilation and effacement in the second trimester.

Choice D rationale

Cervical surgery, such as conization or LEEP, can weaken the cervical structure, increasing the risk of cervical insufficiency by reducing the cervix’s ability to remain closed during pregnancy.

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