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.Students willtion with pictures to assist new mothers with breast- express their own opinion about their thoughts basedfeeding.Each student will have their own opinion on their value system and cultural background.Chapter 19mineral.Magnesium sulfate would not be effec-Ï% MULTI PLE CHOI CE QUESTI ONStive against constipation in pregnant women.1.The correct response is A.Magnesium sulfate isMagnesium sulfate does not stimulate muscu-a central nervous system depressant that inter-loskeletal tone to augment labor contractions;feres with calcium uptake in the cells of therather, it has the opposite effect.myometrium, thus reducing the muscular abilityto contract.Magnesium sulfate is not used as2.The correct response is D.Women with a historysupplementation during pregnancy because mostof preterm birth are at highest risk for the samepregnant women do not have a deficiency of thisin subsequent pregnancies.Because there is not a3132-26_AnswersRev.qxd 12/15/05 3:45 PM Page 758758 ANSWERS TO WORKSHEET QUESTIONScomplete understanding of causes of preterm ated with preterm labor.Diazepam (Valium) haslabor, whatever situation existed in a previous little or no effect on uterine muscles.It was usedpregnancy to initiate early labor may still be pres- in the past to inhibit seizure activity, but fetal sideent for this pregnancy.Having had twins previ- effects were great.Phenobarbital, although a cen-ously would have no bearing on this singleton tral nervous system depressant, has little effect onpregnancy to influence a preterm labor.Location calming uterine muscles.It was previously usedof residence is not a risk factor for preterm labor.to control maternal anxiety and prevent seizures.The woman s occupation as a computer pro-Butorphanol (Stadol) is an analgesic to decreasegrammer and sitting at a computer all day wouldpain and has no effect on uterine muscles to stopnot increase her risk for preterm labor.However,contractions.standing for long periods in a work environment5.The correct response is A.Any time there is amight increase her risk.pregnancy with the chance of maternal and fetal3.The correct response is B.When the placenta sep-blood mixing, RhoGAM is needed to prevent sen-arates from the uterine wall, it causes irritationsitization or antibody production.Head injuryand bleeding into the muscle fibers, which causesresulting from a car crash is not a situation inpain.Painless, bright-red bleeding indicates pla-which there would be mixing of fetal or maternalcenta previa symptomatology.Excessive nauseablood.The trauma would cause hemorrhage, butand vomiting would be characteristic of hyper-not a sensitization reaction.A blood transfusionemesis gravidarum.Hypertension and headacheafter hemorrhage would require typing and cross-would be associated with gestational hypertension.matching of the client s blood; thus, she wouldreceive blood with her own Rh factor, not one4.The correct response is C.Calcium channelblockers, such as nifedipine (Procardia), inhibit with Rh-positive blood.Because the artificialcalcium from entering smooth muscle cells, thus insemination procedure was unsuccessful, noreducing uterine contractions.This type of drug pregnancy occurred and RhoGAM would not bewould help in slowing down contractions associ- necessary.2.Ï% CRI TI CAL THI NKI NG EXERCI SESa.Based on her history, what might this client be at1.risk for? Why?a.What is your impression of this condition?This client is at high risk for preterm labor and birthFrom her history, it appears she has hyperemesisbecause of the following risk factors in her history:gravidarum, because she is beyond the morning sick-African-American race, smoker, poor nutrition,ness time frame (6 12 weeks) and her symptoms areanemia, history of UTIs, and low socioeconomic andcontinual.educational status.b.What risk factors does Suzanne have for thisb.What client education is needed at this visit?condition?A frank discussion of risk factors associated withHer risk factors include young age and primigravidapreterm labor and birth and how they can be changedstatus.to reduce her risk is needed.Signs and symptoms ofpreterm labor need to be stressed.Education shouldc.What intervention is appropriate for this woman?address diet, working conditions, taking prenatal vita-" Question Suzanne further concerning previous eatingmins, hydration, and goals for her future.patterns and food intake." Ask what measures has she used at home to stop thec.What specific nursing interventions might reducenausea and vomiting.her risk?" Consult the healthcare provider concerning hospital- A smoking cessation program and a referral to a nutri-ization of Suzanne for IV therapy to correct hypo-tionist and enrollment in the WIC program should bevolemia and electrolyte imbalances.made
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