What organization developed the CJMM?

Correct Answer: C

Rationale: The organization that developed the CJMM is the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN). The CJMM, which stands for Core JMM, is a framework used for assessing labor progress during childbirth. AWHONN is a professional association that focuses on promoting the health of women and newborns, and they are widely recognized for their work in developing standards and guidelines in the field of obstetric and neonatal nursing.

Correct Answer: D

Rationale: In this scenario, option D is the correct answer. The nurse should anticipate the need for thromboembolism stockings or sequential compression devices for the pregnant client who is obese. This is because obesity is a risk factor for thromboembolic complications such as deep vein thrombosis (DVT) during pregnancy. Thromboembolism stockings or sequential compression devices help prevent blood clots by promoting circulation in the lower extremities. Option A is incorrect because while heparin may be prescribed for some pregnant clients to prevent blood clots, it is not specifically related to the client's obesity status in this context. Option B is incorrect because bed rest is not a recommended preventive measure for obesity in pregnancy. In fact, appropriate physical activity is usually encouraged to promote maternal and fetal health. Option C is incorrect because the need for an overbed lift during a cesarean section is not directly related to the client's obesity status. An overbed lift may be used for various clients undergoing surgery, regardless of weight. Educationally, this question highlights the importance of understanding how obesity can impact pregnancy and the potential complications that may arise. It reinforces the need for preventive measures, such as using thromboembolism stockings or sequential compression devices, to ensure the safety and well-being of pregnant clients who are obese.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Avoid drinking fluids between meals. Nausea is a common symptom during early pregnancy, and advising the client to avoid drinking fluids between meals can help alleviate this symptom. Drinking fluids with meals can make nausea worse by distending the stomach, triggering reflux, and increasing the feeling of fullness. Option A) Eat three large meals a day is incorrect because consuming large meals can exacerbate nausea. It is better to recommend smaller, more frequent meals throughout the day to help manage nausea. Option C) Increase intake of spicy foods is incorrect because spicy foods can irritate the stomach and potentially worsen nausea in pregnant clients. Mild, bland foods are generally better tolerated during pregnancy. Option D) Consume high-fat snacks frequently is incorrect because fatty foods can be harder to digest and may worsen nausea. Opting for low-fat, easily digestible snacks is more advisable. In an educational context, it is crucial for nurses to understand common discomforts during pregnancy and provide evidence-based recommendations to support maternal well-being. By explaining the rationale behind dietary advice for managing nausea in pregnancy, nurses can empower clients to make informed choices that promote their health and comfort during this special time.

Correct Answer: A

Rationale: In the first trimester of pregnancy, many women experience nausea, commonly known as morning sickness. The correct dietary recommendation for a client experiencing nausea in the first trimester is to eat dry crackers before getting out of bed (Option A). This suggestion is appropriate because dry crackers can help alleviate nausea by absorbing stomach acids and providing a bland, starchy food source that is easy on the stomach. Option B, avoiding eating throughout the day, is incorrect because it can lead to low blood sugar levels, exacerbating nausea. Option C, increasing intake of spicy foods, is also incorrect as spicy foods can further irritate the stomach and worsen nausea. Option D, consuming large, infrequent meals, is not recommended as it can overwhelm the digestive system and trigger or worsen nausea in pregnant women. Educationally, it is important for nurses to understand the dietary recommendations for common discomforts during pregnancy to provide appropriate care and support to pregnant clients. By knowing the rationale behind each dietary recommendation, nurses can effectively educate their clients on how to manage symptoms and promote their well-being during pregnancy.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) These are Braxton Hicks contractions and are normal. Rationale: Braxton Hicks contractions are irregular, painless contractions that can occur throughout pregnancy but are more common in the third trimester. They are considered a normal part of pregnancy as the body prepares for labor. These contractions help to tone the uterus and may be felt as a tightening sensation. It is important for the nurse to educate the client that experiencing painless contractions at 32 weeks' gestation is likely due to Braxton Hicks contractions and is not a cause for concern. Explanation of other options: - Option B) This is a sign of preterm labor: Contractions associated with preterm labor are usually regular, frequent, and may be accompanied by other signs such as back pain, pelvic pressure, or vaginal discharge. Painless contractions at 32 weeks are more likely Braxton Hicks contractions. - Option C) This indicates cervical dilation: Painful contractions coupled with cervical changes would be more indicative of labor rather than painless contractions at 32 weeks. - Option D) This requires immediate hospitalization: Without additional concerning signs such as bleeding, severe pain, or other symptoms of preterm labor, painless contractions at 32 weeks are not an indication for immediate hospitalization. Educational context: Understanding the difference between Braxton Hicks contractions and signs of preterm labor is crucial for maternal health assessment. Nurses play a vital role in educating clients about the normal physiological changes during pregnancy to differentiate between expected discomforts and potential complications. This knowledge empowers clients to recognize warning signs and seek appropriate medical care when necessary, promoting positive maternal and newborn outcomes.