The nurse is reviewing a woman's health care record during her first prenatal visit. The client has a history of chicken pox as a child and syphills as a teenager. Which action is most important for the nurse to take?

Obtain blood and urine for prenatal screens

Explain common complications of pregnancy

Obtain baseline blood pressure and weight

Schedule prenatal visits to occur monthly

Answer and Explanation

The Correct Answer is A

A. Obtain blood and urine for prenatal screens.
This choice is important because it allows the nurse to assess the client's overall health, screen for infections, and identify any potential risks or complications that may impact the pregnancy.

B. Explain common complications of pregnancy.
While educating the client about common complications is valuable, it may not address the immediate need to screen for specific infections or assess the client's current health status. This information can be covered during prenatal education sessions.

C. Obtain baseline blood pressure and weight.
This is a routine part of prenatal care and is important for monitoring the client's health throughout pregnancy. However, if the client has a history of syphilis, obtaining specific prenatal screens (including for syphilis) would be a more targeted and immediate action.

D. Schedule prenatal visits to occur monthly.
Scheduling regular prenatal visits is essential for monitoring the progression of the pregnancy. However, addressing the specific health concerns and obtaining necessary screens take precedence during the initial visit, especially considering the client's history of syphilis.

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Correct Answer is C

Explanation

A. Schedule an appointment for the client with the diabetic nurse educator:
This could be a helpful action. The diabetic nurse educator can provide valuable support and education on managing insulin needs during breastfeeding.

B. Counsel her to increase her caloric intake:
While adequate nutrition is essential, increasing caloric intake may not be the primary factor affecting insulin needs. It's important to consider the specific needs of the client, and any adjustments to insulin should be made based on careful monitoring.

C. Inform her that a decreased need for insulin occurs while breastfeeding:
This is accurate information. Breastfeeding can lead to a decreased need for insulin in some individuals. The nurse should provide education on this aspect of managing diabetes during breastfeeding.

D. Advise the client to breastfeed more frequently:
While breastfeeding frequency can impact insulin needs, it's essential to consider the overall picture. Simply increasing breastfeeding frequency may not be the only factor affecting insulin requirements.

Correct Answer is ["12"]

Explanation

To solve this problem, the nurse needs to convert the units of oxytocin from units to milliunits.

One unit of oxytocin is equal to 1000 milliunits, so 10 units of oxytocin is equal to 10,000 milliunits.

- The concentration of oxytocin in the solution is 10,000 milliunits per 1000 mL, or 10 milliunits per mL.

- To deliver 2 milliunits per minute, the nurse needs to infuse 0.2 mL per minute of the solution.

- To convert from mL per minute to mL per hour, the nurse needs to multiply by 60 minutes per hour.

- Therefore, the nurse should program the infusion pump to deliver 0.2 x 60 = 12 mL per hour of the solution.

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The nurse is reviewing a woman's health care record during her first prenatal visit. The client has a history of chicken pox as a child and syphills as a teenager. Which action is most important for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement?

Correct Answer is C

Explanation

Correct Answer is ["12"]

Explanation

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