CH 22 NURSING CARE OF A
PREGNANT FAMILY WITH SPECIAL
NEEDS EXAM QUESTIONS WITH
CORRECT ANSWERS
A woman who frequently uses marijuana may have a reduction in milk production.
She is no more likely than any other woman to have postpartum hemorrhage,
infection, or hemorrhoids. - ANSWER-Which postpartum complication is the nurse
most likely to see in a mother who abuses marijuana?
a) Infection
b) Postpartum hemorrhage
c) Hemorrhoids
d) Inadequate milk production
b) Provide educational pamphlets on topics such as nutrition and exercise
c) Provide time for the client and support person to ask questions
e) Stress the importance of attending monthly health care provider appointments
Interventions for the high-risk pregnant client include promoting a healthy pregnancy
and preventing pregnancy complications. Care focuses on teaching, maintaining
appointments, and encouraging a client with any special needs to determine how
best to manage the pregnancy according to the client's situation. Providing
educational pamphlets on related topics allows the client to review information at
home. Maintaining health care appointments is essential in monitoring the progress
of the client and fetus. Allowing the opportunity to ask questions clarifies any
misconceptions. Discussing consequences and potential negative outcomes may be
considered punitive and deter therapeutic communicatio - ANSWER-The nurse is
caring for a pregnant client considered at high risk for pregnancy complications.
What nursing action(s) included in the plan of care help achieve a positive outcome?
Select all that apply.
a) Make sure the client maintains bed rest for the duration of the pregnancy
b) Provide educational pamphlets on topics such as nutrition and exercise
c) Provide time for the client and support person to ask questions
d) Inform the client of consequences and potential negative outcomes
e) Stress the importance of attending monthly health care provider appointments
d) Assess the impact of the disability on the client's lifestyle before offering
assistance
When caring for a client with physical challenges, keep in mind that physical
disabilities occur in degrees; therefore, the nurse should first establish the effects of
the disability on the client's lifestyle before offering any guidance for care measures
during pregnancy. The capacity of a woman with special needs to adapt to
pregnancy depends both on her physical capabilities and on her ability to persevere
against odds, to overcome obstacles. Be certain to assess physical strengths as well
as limitations and psychosocial strengths as well as challenges. Once the nurse has
, completed the assessment, assistants may be helpful in lifting the client onto the
exam table. There is no reason to believe that the client is unable to take care of her
baby just because of the physical disability. Planning may be needed to ide -
ANSWER- The nurse is preparing for a prenatal visit with a pregnant woman who
cannot ambulate because of a thoracic spine injury several years ago. What should
the nurse do first to prepare for this client's visit?
a) Educate the client on the effects of pregnancy and birth on women with disabilities
b) Have assistants available to lift the client onto the examining room table
c) Discuss the client's inability to provide care for her child adequately
d) Assess the impact of the disability on the client's lifestyle before offering
assistance
c) Deliver chest thrusts
To effectively dislodge a food object from a choking pregnant woman, the nurse
should start chest thrusts. Pressure on the chest compresses the ribs, increasing
chest and lung pressure. This increased pressure forces an object lodged in the
airway to move upward. - ANSWER-The nurse is eating lunch in the hospital
cafeteria when she notices a pregnant woman, apparently in her third trimester,
choking on her food. After assessing that the client cannot speak, what should be the
nurse's next intervention?
a) Deliver back blows
b) Deliver abdominal thrusts
c) Deliver chest thrusts
d) Perform a blind finger sweep
b) Elevate the client's head, maintaining spinal precautions
The client with a preexisting spinal cord injury is at risk for autonomic dysreflexia,
manifested with severe hypertension and a sudden severe headache. The nurse
must immediately elevate the client's head to relieve the cerebral pressure before
assessing for the cause and before calling for help or contacting the health care
provider. Rotating the client is not an intervention to help a client with this condition. -
ANSWER-The nurse is caring for a pregnant client who has a preexisting spinal cord
injury. During labor, the client suddenly experiences a headache and blood pressure
of 298/100 mm Hg. What is the nurse's priority intervention?
a) Call for assistance
b) Elevate the client's head, maintaining spinal precautions
c) Contact the health care provider
d) Rotate the client into the side-lying position using the log-rolling method
c) Iron-deficiency anemia
d) Preterm labor
e) Preeclampsia
Adolescents are at increased risk of iron-deficiency anemia, preeclampsia, and
preterm labor. Older clients, not adolescents, are at increased risk for multiple
gestation pregnancy and gestational diabetes. - ANSWER-The nurse is caring for a
pregnant adolescent client. Which complication(s) of pregnancy is this client at
increased risk for due to age? Select all that apply.
PREGNANT FAMILY WITH SPECIAL
NEEDS EXAM QUESTIONS WITH
CORRECT ANSWERS
A woman who frequently uses marijuana may have a reduction in milk production.
She is no more likely than any other woman to have postpartum hemorrhage,
infection, or hemorrhoids. - ANSWER-Which postpartum complication is the nurse
most likely to see in a mother who abuses marijuana?
a) Infection
b) Postpartum hemorrhage
c) Hemorrhoids
d) Inadequate milk production
b) Provide educational pamphlets on topics such as nutrition and exercise
c) Provide time for the client and support person to ask questions
e) Stress the importance of attending monthly health care provider appointments
Interventions for the high-risk pregnant client include promoting a healthy pregnancy
and preventing pregnancy complications. Care focuses on teaching, maintaining
appointments, and encouraging a client with any special needs to determine how
best to manage the pregnancy according to the client's situation. Providing
educational pamphlets on related topics allows the client to review information at
home. Maintaining health care appointments is essential in monitoring the progress
of the client and fetus. Allowing the opportunity to ask questions clarifies any
misconceptions. Discussing consequences and potential negative outcomes may be
considered punitive and deter therapeutic communicatio - ANSWER-The nurse is
caring for a pregnant client considered at high risk for pregnancy complications.
What nursing action(s) included in the plan of care help achieve a positive outcome?
Select all that apply.
a) Make sure the client maintains bed rest for the duration of the pregnancy
b) Provide educational pamphlets on topics such as nutrition and exercise
c) Provide time for the client and support person to ask questions
d) Inform the client of consequences and potential negative outcomes
e) Stress the importance of attending monthly health care provider appointments
d) Assess the impact of the disability on the client's lifestyle before offering
assistance
When caring for a client with physical challenges, keep in mind that physical
disabilities occur in degrees; therefore, the nurse should first establish the effects of
the disability on the client's lifestyle before offering any guidance for care measures
during pregnancy. The capacity of a woman with special needs to adapt to
pregnancy depends both on her physical capabilities and on her ability to persevere
against odds, to overcome obstacles. Be certain to assess physical strengths as well
as limitations and psychosocial strengths as well as challenges. Once the nurse has
, completed the assessment, assistants may be helpful in lifting the client onto the
exam table. There is no reason to believe that the client is unable to take care of her
baby just because of the physical disability. Planning may be needed to ide -
ANSWER- The nurse is preparing for a prenatal visit with a pregnant woman who
cannot ambulate because of a thoracic spine injury several years ago. What should
the nurse do first to prepare for this client's visit?
a) Educate the client on the effects of pregnancy and birth on women with disabilities
b) Have assistants available to lift the client onto the examining room table
c) Discuss the client's inability to provide care for her child adequately
d) Assess the impact of the disability on the client's lifestyle before offering
assistance
c) Deliver chest thrusts
To effectively dislodge a food object from a choking pregnant woman, the nurse
should start chest thrusts. Pressure on the chest compresses the ribs, increasing
chest and lung pressure. This increased pressure forces an object lodged in the
airway to move upward. - ANSWER-The nurse is eating lunch in the hospital
cafeteria when she notices a pregnant woman, apparently in her third trimester,
choking on her food. After assessing that the client cannot speak, what should be the
nurse's next intervention?
a) Deliver back blows
b) Deliver abdominal thrusts
c) Deliver chest thrusts
d) Perform a blind finger sweep
b) Elevate the client's head, maintaining spinal precautions
The client with a preexisting spinal cord injury is at risk for autonomic dysreflexia,
manifested with severe hypertension and a sudden severe headache. The nurse
must immediately elevate the client's head to relieve the cerebral pressure before
assessing for the cause and before calling for help or contacting the health care
provider. Rotating the client is not an intervention to help a client with this condition. -
ANSWER-The nurse is caring for a pregnant client who has a preexisting spinal cord
injury. During labor, the client suddenly experiences a headache and blood pressure
of 298/100 mm Hg. What is the nurse's priority intervention?
a) Call for assistance
b) Elevate the client's head, maintaining spinal precautions
c) Contact the health care provider
d) Rotate the client into the side-lying position using the log-rolling method
c) Iron-deficiency anemia
d) Preterm labor
e) Preeclampsia
Adolescents are at increased risk of iron-deficiency anemia, preeclampsia, and
preterm labor. Older clients, not adolescents, are at increased risk for multiple
gestation pregnancy and gestational diabetes. - ANSWER-The nurse is caring for a
pregnant adolescent client. Which complication(s) of pregnancy is this client at
increased risk for due to age? Select all that apply.
