Question

Chapter 12: Nursing Management During Pregnancy 1. Nancy, age 38, and her husband, Dan, age 37, arrive at a midwife clinic for an initial prenatal visit. They have been married for 10 years and trying to have a child for 3 years. Nancy completes the initial paperwork and the nurse notes the following obstetrical history: G3, TO, PO, A2, LO. Nancy is approximately 8 weeks pregnant. (Learning Objectives 2, 3, and 4) A. What questions in the history are the highest priority for the nurse to ask, given Nancy's obstetrical history? Why is this history important? B. What initial prenatal screening and testing would the nurse anticipate at this visit? Why? C. What prenatal screening and testing would the nurse anticipate for Nancy in the future related to her age? Why? 2. Carla is 36 weeks pregnant with her first child. She is in the office for her regular prenatal checkup. This visit she complains of increasing heartburn, low back pain, constipation, and difficulty sleeping at night. Carla would like to know what she can do to get relief from these symptoms. (Learning Objectives 5 and 6) A. Describe the nursing management for Carla's complaints. B. Now that Carla is nearing the end of her pregnancy, she has many questions regarding what to include as she starts preparing her birth plan. What information does Carla need to effectively plan for the birth of her baby?

Answer 1

1. A.Highest Priority Question For Nurse To Ask To the patient is that Did She got Her Choronic Villus Sampling Done?This Question is Really Important because She Is a Case Of Recurrent Abortion In The First Trimester Of Pregnancy and In First Trimester Most Cases Occurs Due to The Chromosomal Abnormalities..

B. Initial Prenatal screening and Test Nurse Anticipate will Be

Ultrasound, Chorionic Villous Sampling and Nuchal Translucency... becoz these Test will help Us Diagnose Chromosomal Abnormalities Such as Down Syndrome,Edwards syndrome etc.

C.During the first trimester, the fetus is most susceptible to damage from substances, like alcohol, drugs and certain medicines, and illnesses like rubella, Toxoplasmosis Etc.

As HOMEWORKLIB Rules I have Solved The 1st question in the Image Shown... As Not Mentioned What Answer Was Needed.