1. The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis. The client states, “Everybody knows that alcohol is bad during pregnancy, but what’s the big deal about ecstasy?” the best response by the nurse is “Ecstasy:
A. Can Cause Fever in you and therefore cause the baby harm.
B. Leads to deficiencies of thiamine and folic acid, which help baby develop. (Alcohol)
C. Produces babies with small heads and short bodies with brain function alterations (Cocaine)
D. Produces intrauterine growth restriction and meconium aspiration. (heroine)
2. The nurse is doing preconception counseling with a 28-year old woman with no prior pregnancies. Which of the following statements made by the client indicates to
…show more content…
What will this do to my baby?” The nurse knows teaching has been effective when the client states:
A. I cannot take the medications that control HIV during my pregnancy because they will harm my baby.
B. My baby will probably be born with anti-hiv antibodies, but that doesn’t mean it is infected.
C. The pregnancy will increase the progression of my disease and will reduce my CD4 counts.
D. The HIV won’t affect my baby, and I will have a low-risk pregnancy without additional testing.
13. During the history, client admits to being HIV + and says she knows that she is about 16 weeks pregnant. Which statements made by the client indicate an understanding of the plan of care both during the pregnancy and postpartally? Select all that apply:
A. During labor and delivery, I can expect the zidovudine (AZT) to be given in my IV.
B. After delivery the dose of zidovudine (AZT) will be doubled to prevent further infection.
C. My baby will be started on zidovudine (AZT) within 12 hours of delivery.
D. My baby’s zidovudine (AZT) will be given in cream form.
E. My baby will not need zidovudine (AZT) if I take it during my pregnancy.
14. A woman is 32 weeks pregnant, she is HIV positive, but asymptomatic. What would be important in managing her pregnancy and delivery?
A. An aminocentesis at 30 and 36 weeks.
B. Weekly Non-Stress testing beginning at 32 weeks’ gestation.
C. Application of a fetal scalp electrode as soon as her membranes rupture in labor.
D.
b. So… all in all I’m really not sure what the exact answer is. Sorry bro
a. I can assure you that once you start, your blood will begin moving, you’ll feel
D. I have done a lot of research for the past few years on this topic, including academic and medical journals, many opinions from physicians, and have seen the benefits in my mother firsthand.
c. The less likely it is that he or she will drop out of school.
b. Genes can act indirectly by making it more likely you will be raised in a particular environment.
15) The nurse provides discharge instruction to a post cardiac catheterization patient. Which statement made by the patient verbalizes understanding?
D-The patient arrived on time for her appointment and stated to this writer as they walked to the office that things has gotten better. According to the patient, she knows her triggers to her anger and is willing to address it before it worsen to the point of walking away from the negativity. The issues in her home whereas it's her sister and her son, also, her brother and his family living with her as well tends to give her issues such as disrespecting her home and space. The patient then informs this patient that her brother, who was serving 22 months for drugs was released, staying with her until his parole approves his apartment. The issue in the home is not her brother, but his signigificant other and his son not respecting her home as mentioned before including her sister and her son. This writer and the patient discussed alternatives addressing the anger and dealing with those not respecting her home. At first, the patient mentioned about going into a shelter, but realized she cannot leave her 72 year old mother in the house by herself because as the patient reports, people will take her mother for granted.
Erin is a 33yo, G3 P1101, who was seen for an ultrasound evaluation and consultation. The patient has a longstanding past history of substance abuse as well as alcohol abuse and she is HIV positive with a positive viral load. She is followed by infectious disease and is on numerous medications including Genvoya and Prezista. She also is reportedly hepatitis C positive. She has a history of alcohol abuse in the past but states that she has not had any alcohol since early June. Her LMP was 08/06/17. She also has a history of cocaine usage but again denies any usage in the past year. She does have a longstanding history of physical abuse and has had issues with anxiety. She has 2 previous deliveries. The 1st of which was in 2004 that occurred
D-The patient arrived on time to attend the Women's Group. This writer advised the patient that the group session was cancelled due to low attendance; however, the patient agreed to meet with this writer for a 1:1 to get credit for attendance, This writer informed the patient about what to expect pertaining to topics of what will be discussed and then asked the patient about her expectation of the group session. Furthermore, this writer addressed with the patient about last week session regarding to patient #2570 comment. When asked by this writer as to how often she sees patient #2570, the patient response was, " Well, I am not trying to get anyone in trouble, but she drinks occasionally.....probably would have one to drink during special
B. My mission is to decrease the number of long-term complications associated with metabolic syndromes undetected at its earliest stages.
The NP is this case has a couple of ethical issues to address. First, patients have the right for their health information to be protected; therefore discussing the diagnosis with his wife would be a violation of privacy. On the other hand, his wife should have the right to know about and seek treatment for a disease that could cause complications and even death. Furthermore, she has a right to make an informed decision about appropriate prenatal care and whether to continue with the pregnancy (The Center for HIV Law and Policy,
E) In my opinion she is covered. There is no part of the suggested PAP coverge that excludes a
B. My answer would be different because cancer is a disease that can’t always be averted, alcoholism can’t always be prevented as well, but for the majority of cases it could have been. Those who suffer from alcoholism, should be treated with counseling and medical attention. More lives have been lost from cancer than from alcoholism. "The needs of the many outweigh the needs of the few"
B. As she walked out of the clinic, she threw the pack away and has not touched a