NURS 3550 0B Exam Elaborations (A+ GRADED)

A client is 24 weeks pregnant. The nurse notes on the prenatal record that the patients BP was 120/70 before pregnancy. Today the patients BP is 110/62. The nurse should take which of the following actions? a. Chart the findings 2. A multigravida who is O negative will have which routine screening tests to determine if Rh sensitization has occurred? a. Indirect Coombs test 3. A pregnant woman is married to an intravenous drug user. She had a negative HIV screening test just after missing her first menstrual period. What would indicate that the patient needs to be retested if occurring later in pregnancy? a. Unusual fatigue, recurring candida vaginitis (yeast) and other recurrent infection. 4. A couple are both known to be carriers of the autosomal recessive disorder cystic fibrosis. They are unaffected, but their 2-year-old daughter has the condition. They are planning a second pregnancy and would like to understand their chances of a second child being affected. Which of the following responses by the nurse is accurate? a. “The chances are 1 in 4 of your children being affected the chances are the same with each pregnancy.” 5. After an early ultrasound, a woman and her spouse learn they are having twins. Which statements by the nurse are correct and could be included in the teaching plan? SATA a. Identical twins are the same sex and phenotype b. Identical twins usually have a common placenta, and may have one chorion and two amnions c. Fraternal twins have two placentas, two chorions and two amnions 6. A woman is 34 weeks pregnant. When she comes for an early morning clinic visit, she mentions that she only had time for a doughnut and juice for breakfast this morning. Results of her urine specimen show a small amount of glucose (1+ by dipstick) present. This most likely indicates: a. A decreased renal threshold for glucose due to the normal changes of pregnancy