Question

Instructions All questions apply to this case study. When asked to provide several answers, list them in order of priority or significance. Do not assume information that is not provided. Scenario 1 P.M. comes to the obstetric (OB) clinic because she has missed two menstrual periods and thinks she might be pregnant. She states she is nauseated, especially in the morning, so she completed a home pregnancy test and it was positive. As the intake nurse in the clinic, you are responsible for gathering information before she sees the physician. 1. What are the two most important questions to ask to determine possible pregnancy? 2. You ask whether she has ever been pregnant, and she tells you she has never been pregnant. How would you record this information? 3. What additional information would be needed to complete the TPAL record? 4. It is important to complete the intake interview. What categories will you address with P.M.? Chart Review Blood pressure Heart rate Respiratory rate Temperature Vital signs 116/74 mm Hg 88 beats/min 16 breaths/min 98.9° F (37.2° C) 5. Do any of these vital signs cause concern? What should you do? 6. P.M. tells you that the date of her last menstrual period (LMP) was February 2. How would you calculate her due date? What is her due date? 7. What is the significance of a gynecoid pelvis? 8. What specimens are important to obtain when the pelvic examination is done? 9. A psychological assessment is done to determine P.M.'s feelings and attitudes regarding her pregnancy. How do attitudes, beliefs, and feelings affect pregnancy? 10. P.M. asks you whether there are any foods she should avoid while pregnant. She lists some of her favorite foods. Which foods, if any, should she avoid eating while she is pregnant? (Select all that apply.) a. Hot dogs b. Sushi c. Yogurt d. Deli meat e. Cheddar cheese 11. As the nurse, you know what assessment and teaching are vital in the prenatal period to ensure a positive outcome. What information is important to include at every visit and at specific times during the pregnancy? 12. After her examination, P.M. states that she is worried because her sister had an ectopic pregnancy and had to have surgery. She asks you, "What are the signs of an ectopic pregnancy?" Which of these are correct? (Select all that apply.) a. Fullness and tenderness in her abdomen, near ovaries b. Pain, either unilateral, bilateral, or diffuse over the abdomen C. Nausea

Answer 1

6. Correct ans. 9 November ( EDD- estimated due date)

Due date :- spontaneous onset of laborl is expected to occur .

The due date May be estimated by adding 280 days ( 9 month and 7 day) to the first day of the last menstrual period ( LMP ).

7. Ans. Significance of gynecoid pelvis :-

- most commonly found

- normal female pelvis

- transversely rounded or blunt / engulated .