Exam 19: Pregnancy at Risk: Pregestational Problems

The nurse is assessing a woman at 10 weeks' gestation who is addicted to alcohol. The woman asks the nurse, "What is the point of stopping drinking now if my baby probably has been hurt by it already?" What is the best response by the nurse?

A woman's history and appearance suggest drug abuse. The nurse's best approach would be to:

The nurse is caring for a pregnant woman who admits to using cocaine and ecstasy on a regular basis. The patient states, "Everybody knows that alcohol is bad during pregnancy, but what's the big deal about ecstasy?" The best response by the nurse is:

The patient has just been diagnosed as diabetic. The nurse knows teaching was effective when the patient says:

A woman asks her nurse what she can do before she begins trying to get pregnant to help her baby, since she is prone to anemia. The nurse correctly advises her to:

A 21-year-old at 12 weeks' gestation with her first baby has known cardiac disease, class III, as a result of childhood rheumatic fever. During a prenatal visit, the nurse reviews the signs of cardiac decompensation with her. The nurse will know that the patient understands these signs and symptoms if she states, "I would notify my doctor if I had:

The clinic nurse is following the progress of a HIV-positive infant. The nurse will assess the infant for:

A 26-year-old multigravida is 28 weeks pregnant. She has developed gestational diabetes. She is following a program of regular exercise, which includes walking, bicycling, and swimming. What instructions should be included in a teaching plan for this patient?

A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin. The nurse should recognize that the woman is at increased risk for:

The nurse is doing preconception counseling with a 28-year-old woman with no prior pregnancies. Which statement made by the patient indicates to the nurse that the patient has understood the teaching?