Chamberlain College of Nursing | NR 447 RN Maternal Fetal, answered

Chamberlain College of Nursing | NR 447 RN Maternal Fetal, answered-A nurse is caring for a client scheduled for a chorionic villus sampling (CVS) procedure. What client education should the nurse provide prior to the procedure? Identify potential complications associated with CVS. Instructing the patient to drink plenty of fluid to fill the bladder prior to the procedure to assist in positioning the uterus for catheter insertion. Spontaneous abortion; risk for fetal limb loss; miscarriage; and chorioamnionitis and rupture of membranes are all complications of chorionic villus sampling? The nurse is assessing a new mother's efforts to bond with her newly born infant. Identify three (3) factors that can impact effective bonding between mother and infant? Factors that can impact effective bonding between mother and baby include the mother’s physical and emotion condition (unwanted pregnancy, adolescent pregnancy, history of depression, difficult pregnancy and delivery), the baby’s physical condition (prematurity, congenital anomalies); culture, age, and socioeconomic level; secondary to maternal or neonatal factors. A nurse is providing community education regarding risk factors for ovarian cancer. Identify five (5) risk factors associated with the development of ovarian cancer. (Review the Med Surg RM) Risk factors associated with the development of ovarian cancer include being over 40 years of age; nulliparity or first pregnancy after 30 years of age; family history of ovarian, breast, or colon cancer, history of dysmenorrhea or heavy bleeding; endometriosis; high-fat diet; hormone replacement therapy; use of infertility medications. The client enters the obstetrical clinic for birth control information on using a diaphragm. What five (5) instructions would be provided by the nurse to explain use of the diaphragm? 1. You should be properly fitted with a diaphragm by a provider and refitted for a 20% weight fluctuation, after abdominal or pelvic surgery, and after every pregnancy. 2. Proper use requires proper insertion and removal. Empty your bladder prior to insertion. Perform hand hygiene. Prior to sexual intercourse the diaphragm must be inserted vaginally over the cervix with spermicidal jelly or cream that is applied to the cervical side of the dome and around the rim. The diaphragm can be inserted up to 6 hr before intercourse and must stay in place 6 hr after