Question 1

A 38-year-old pregnant client is reluctant to attend prenatal classes because the other participants will be much younger. What should the nurse do to encourage this client's attendance at classes? Select all that apply.

Accepted Answer

Supporting the client's strengths can boost her confidence, and finding a class with older participants may make her feel more comfortable attending.

Question 2

A pregnant client with rheumatoid arthritis arrives for a prenatal examination. How should the nurse support this client's needs? Select all that apply.

Accepted Answer

The answer of A pregnant client with rheumatoid arthritis arrives...

Question 3

A 25-year-old client with a learning disability arrives for her first prenatal visit at week 24 of gestation. What should the nurse emphasize when caring for this client? Select all that apply.

Accepted Answer

Clients with learning disabilities may require more time to understand information and may have difficulty processing large amounts of information at once. Therefore, the nurse should provide information in small increments and avoid rushing through the examination. Additionally, the nurse should ask if the client has any questions to ensure understanding. Asking about financial assistance or suggesting social services may not be appropriate for first prenatal visits and may be handled by a social worker or case manager.

Question 4

A client who is at 28 weeks' gestation arrives for her first prenatal examination in a wheelchair. What should the nurse include when assessing this client? Select all that apply.

Accepted Answer

The answer of A client who is at 28 weeks'...

Question 5

The nurse is preparing a presentation on psychosocial issues of older pregnant clients. What should the nurse include in this presentation? Select all that apply.

Accepted Answer

Psychosocial issues for older pregnant clients may include social isolation due to age differences with peers, financial stress due to unexpected pregnancy or retirement, pending mortality or concerns about being able to raise a child late in life, and family and friend attitudes towards the pregnancy. Managing adverse effects, while important, is not directly related to psychosocial issues.

Question 6

The nurse is preparing prenatal teaching material to support the learning needs of a pregnant client with a learning disability. What should the nurse keep in mind when preparing these materials? Select all that apply.

Accepted Answer

Providing the information in multiple formats such as videotapes, audiotapes, and easy-to-understand formats will increase the chances of the client understanding the material. Allowing for extra teaching time is also important as the client has a learning disability, and may need additional time to fully comprehend the information. While providing web site addresses may be a helpful resource, it may not be the most effective means of teaching for a person with a learning disability.

Question 7

The nurse is caring for a pregnant client who has scoliosis that has affected sensation below the level of the umbilicus. What should the nurse instruct the client to do, to reduce the risk of adverse effects during pregnancy? Select all that apply.

Accepted Answer

The nurse should instruct the client to walk slowly and deliberately to maintain balance and prevent falls (A). Adequate intake of fruits, vegetables, and water is important for overall health and to prevent constipation (D). Reviewing signs of pending labor other than uterine contractions is crucial because the client may not feel contractions due to altered sensation (E).

Quiz 12: Pregnancy in Selected Populations