A pregnant patient has received the results of her triple-screen testing and it is positive. What would the nurse anticipate as the next step in the patient’s plan of care?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Refer to the physician for additional testing. When a pregnant patient receives positive results on a triple-screen test, it indicates the presence of certain markers that may suggest a higher risk of a chromosomal abnormality in the fetus. Therefore, it is crucial for the patient to undergo further testing to confirm or rule out the possibility of any fetal abnormalities. Option A is incorrect because a positive result on a triple-screen test warrants further investigation, as it does not signify normal results. Option C is also incorrect as validating the results with the lab facility may not provide the necessary information needed to guide the patient's care appropriately. Option D is incorrect as waiting for 2 weeks without further testing delays crucial interventions or support that the patient may need. In an educational context, understanding the implications of test results in pregnancy is vital for nurses caring for pregnant patients. It is essential for nurses to know the appropriate steps to take when abnormal results are received to ensure the best outcomes for both the mother and the baby. Collaborating with physicians and other healthcare providers to facilitate additional testing and interventions is a fundamental aspect of maternal-fetal monitoring and care.

Correct Answer: B

Rationale: In this scenario, the priority information for the nurse to provide to a 10-week gravid client should be methods to relieve backaches (Option B). Explanation: 1. **Priority in Early Pregnancy**: At 10 weeks of gestation, the client is in the early stages of pregnancy where backaches are a common complaint due to hormonal changes, ligament stretching, and postural adjustments related to the growing uterus. Providing information on managing backaches early can help prevent worsening discomfort as the pregnancy progresses. 2. **Client-Centered Care**: Addressing backaches aligns with client-centered care by addressing a specific concern the client may be experiencing, promoting comfort, and fostering a trusting nurse-client relationship. 3. **Preventive Education**: Educating the client about methods to relieve backaches early on can empower them to make lifestyle adjustments, practice exercises, and use techniques that may alleviate discomfort and potentially prevent more severe back issues later in pregnancy. Why the Other Options are Incorrect: - **A) Pain management during labor**: While important, discussing pain management during labor is more relevant in the later stages of pregnancy or closer to the due date. Addressing immediate concerns like backaches at 10 weeks is more pertinent. - **C) Breastfeeding positions**: Breastfeeding education is crucial but is typically addressed later in pregnancy or postpartum. At 10 weeks, focusing on immediate physical discomforts like backaches is more relevant. - **D) Characteristics of the newborn**: Information about the characteristics of the newborn is important for prenatal education but is not a priority at 10 weeks. Providing comfort and support for the client's current physical discomfort takes precedence. Educational Context: By prioritizing the information on backache relief, the nurse can support the client's well-being, address a common early pregnancy concern, and lay the foundation for ongoing education and support throughout the prenatal period. This approach demonstrates the nurse's commitment to holistic care and proactive health promotion for the client and her developing fetus.

Correct Answer: C

Rationale: The most appropriate response by the nurse in this situation is option C: "It sounds like you’re feeling a little overwhelmed right now." This response shows empathy and acknowledges the client's feelings without making assumptions or providing false reassurances. Option A is incorrect because it dismisses the client's concerns and provides false certainty. Option B is not the best response as it focuses on practical matters rather than addressing the client's emotional state. Option D assumes the involvement of the baby's father, which may not be the case and can be insensitive to single mothers. In an educational context, it's crucial for nurses to respond to clients with empathy and understanding, especially in sensitive situations like unexpected pregnancies. Acknowledging emotions and offering support can help build trust and rapport with clients, leading to better outcomes for both the mother and the baby. It's important for healthcare providers to approach each situation with sensitivity and respect for the individual's unique circumstances.

Correct Answer: C

Rationale: In the context of maternal fetal monitoring, hearing the fetal heartbeat is the option that usually increases the father's interest and involvement in the pregnancy. This moment is often described as powerful and emotionally significant for fathers as it provides a tangible connection to the developing baby. Hearing the heartbeat can evoke feelings of excitement, responsibility, and bonding, prompting fathers to become more engaged and connected with the pregnancy. Attending childbirth education classes (option B) is important for parental preparedness but may not necessarily increase the father's interest more than hearing the fetal heartbeat. Learning the results of the pregnancy test (option A) is an initial step in acknowledging the pregnancy but may not have the same impact on involvement as a direct connection to the developing fetus. Meeting the obstetrician or midwife (option D) is crucial for prenatal care but may not evoke the same level of emotional response as hearing the heartbeat. Educationally, understanding the emotional and psychological aspects of pregnancy for both parents is essential in providing holistic care. By recognizing the significance of moments like hearing the fetal heartbeat, healthcare providers can better support and involve fathers in the pregnancy journey, fostering a sense of partnership and shared responsibility in maternal fetal monitoring.

Correct Answer: B

Rationale: In the context of pharmacology and maternal fetal monitoring, it is crucial to address common discomforts experienced by pregnant women, such as backaches. The correct exercise to teach a pregnant woman complaining of backaches is option B) Pelvic tilting. The rationale for choosing Pelvic tilting is that it helps strengthen and stabilize the muscles in the lower back and pelvis, which can alleviate back pain during pregnancy. This exercise also promotes proper posture and alignment, reducing strain on the back muscles. Option A) Kegeling focuses on strengthening the pelvic floor muscles, which is essential for bladder control and can help prevent urinary incontinence but may not directly address backaches. Option C) Leg lifting and option D) Crunching are exercises that can potentially strain the back muscles further, especially during pregnancy when the body is already under additional stress due to the growing fetus. In an educational context, teaching pregnant women about safe and effective exercises like Pelvic tilting can empower them to manage common discomforts associated with pregnancy. It also promotes overall maternal well-being and can contribute to a healthy pregnancy, which is essential for maternal fetal monitoring and pharmacological interventions if needed.