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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 C

Explanation

Choice A rationale

Delusions indicate severe psychiatric conditions like postpartum psychosis, not depression. Depression involves low mood, energy, and interest, without detachment from reality. Delusions reflect loss of reality testing, requiring different interventions. Common in severe psychoses like schizophrenia.

Choice B rationale

Euphoria indicates abnormally elevated mood, seen in manic episodes of bipolar disorder, not depression. Depression involves sadness, hopelessness, and low energy. Euphoria's excessive positivity contrasts with depressive symptoms, including impaired functioning and behavior regulation.

Choice C rationale

Flat affect signifies reduced emotional expression, common in depression. Depressed individuals exhibit lack of response to pleasurable activities, social withdrawal, and emotional blunting. This impairment in emotional expressiveness reflects major depressive disorder.

Choice D rationale

Insomnia, common in depression, affects sleep patterns, causing difficulty initiating or maintaining sleep. It contributes to fatigue, cognitive impairment, and mood disturbances. Insomnia reflects dysregulated sleep-wake cycles in depression, impacting daily functioning.

Choice E rationale

Fatigue is frequent in depression, marked by persistent tiredness despite rest. It stems from sleep disturbances, low energy, and anhedonia. Fatigue affects concentration, motivation, and physical activity, manifesting as psychomotor retardation in depression.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Gestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.

Choice B rationale

Clients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.

Choice C rationale

Intensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.

Choice D rationale

Having a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.

Choice E rationale

Clients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.

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