Exam 10: Promoting a Healthy Pregnancy

A 22-year-old woman is experiencing her third pregnancy.Her obstetrical history includes one first-trimester elective abortion and one first-trimester spontaneous abortion.The patient is a semi-vegetarian who drinks milk and eats yogurt and fish as part of her daily intake.Which of the following should the nurse include in the patient's dietary teaching plan?

An expectant couple complains of dyspareunia.Which action by the nurse is best?

A new patient is being assessed by the perinatal nurse.For exercise,the woman practices yoga five times a week,walks her dog,and swims.What action should the nurse do first?

A pregnant woman in her third trimester presents to the emergency department after fainting upon rising from a supine position.Which activity should the nurse perform first?

A student nurse asks the faculty about the importance of preconception counseling.Which response by the faculty is best?

The perinatal nurse recommends muscle-strengthening exercises to a woman who is pregnant for the first time.The woman states that she does not want to be "muscle-bound and masculine." What response by the nurse is best?

For which diseases does the prenatal nurse recommend a newly pregnant woman be screened?

Which patient would the perinatal nurse assess as being most at risk for maternal attachment problems?

A nurse is planning to teach a prenatal class on the Dick-Read method of childbirth.Which information should the nurse plan to include?

A patient on the postpartum floor of the hospital has a body mass index (BMI)of 38 and just gave birth to a healthy baby girl by Cesarean section.Which action by the nurse takes highest priority?