Question

5 points QUESTION 16 Nancy is 5 months pregnant in NY, is against abortion, & wants another baby in her family of 4 She currently has 130/90 hypertension, a had pre-eclampsia during her last pregnancy. What should the RN do if Nancy asks for candid advice? O Respecting patient autonomy, the RN does not want to interfere with this decision. Tell Nancy she must assess for leg edema & report indings quickly to an OR, due to risk of pre-edampsia. Try to obtain an appointment for an abortion, since in NYS it is stil permitted at five months To attempt to convince her to keep the baby, since she is against abortion

Answer 1

ANSWER: B) Tell nancy she must assess for leg oedema and report findings quickly to an obstetrician due to risk of pre-eclampsia

REASON:

• Nancy is having hypertension of 130/90 and had a past of pre-eclampsia during her current pregnancy. So the nurse should instruct her to value for leg oedema due to the history of pre-eclampsia. The immediate sign of preeclampsia is high blood pressure and if it is left untreated it can lead to eclampsia. Swelling is prevalent in pregnancy. So oppressive monitoring of leg oedema is needed.
• The nurse should teach the client only unless he/she should not interfere with the client's decision.
• Always the nurse should aware of the client's medical condition and measures should be taken according to the illness.