MATERNAL AND CHILD NURSING 2024 Latest Upated 100% Highscore Pass!!! With Questions and Correct Answers

MATERNAL AND CHILD NURSING 2024 Latest Upated 100% Highscore Pass!!! With Questions and Correct Answers
Which of the following patterns of weight gain is normal for a client who weighed 100 pounds before becoming pregnant?
1. 110 pounds by 10 weeks' gestation
2. 112 pounds by 20 weeks' gestation
3. 115 pounds by 30 weeks' gestation
4. 135 pounds by 40 weeks' gestation - CORRECT ANSWER>>ANS: 4. 135 pounds by 40 weeks' gestation
RATIO: During pregnancy, the woman should gain 25 to 35 pounds. Thus, the client should weigh around 135 pounds at 40 weeks' gestation. By 12 weeks, the client typically should have gained 3.5 to 5 pounds. By 20 weeks, the client typically should have gained 10 pounds. By 30 weeks, the client typically should have gained 10 pounds. By 40 weeks, the client typically should have gained 10 pounds. Typical weight gain is 3.5 to 5 pounds during the first trimester, followed by an average gain of 1 pound per week during the last two trimesters.

Which of the following nursing diagnoses would be most appropriate for a woman in her third trimester who tells her husband that she does not want to go out in public "while I'm this pregnant"?
1. Altered Role Performance
2. Anxiety
3. Body Image Disturbance
4. Ineffective Family Coping - CORRECT ANSWER>>ANS: 3. Body Image Disturbance
RATIO: Bodily changes during pregnancy often cause a negative body image. At the end of the pregnancy, the woman often feels "out of shape" and "fat," leading to a nursing diagnosis of body image disturbance. Altered role performance applies to the state in which an individual experiences or is at risk for experiencing a disruption in the way she perceives her role performance. There is no evidence in this situation to suggest this nursing diagnosis. Anxiety applies to a state in which an individual experiences feelings of uneasiness (apprehension) with activation of the autonomic nervous system in response to a vague, nonspecific threat. There is no evidence in this situation to suggest this nursing diagnosis. Ineffective family coping focuses on family, not on an individual problem.

Which of the following contraceptive methods would the nurse identify as the least effective in preventing conception?
1. Coitus interruptus
2. Condoms with spermicides
3. Intrauterine devices
4. Hormonal contraceptives - CORRECT ANSWER>>ANS: 1. Coitus interruptus
RATIO: A high percentage of conception (20% to 25%) occurs with coitus interruptus primarily because sperm exist in the preejaculatory fluid. This method also requires a great deal of self-control to withdraw in the midst of intercourse before ejaculation of semen. The use of spermicides with condoms has an effectiveness rate of 80% to 85% if the method is used consistently and correctly. Intrauterine devices have an efficacy of 98% to 99%. Hormonal contraceptives have a 97% effectiveness rate.

Which of the following behaviors would the nurse expect to observe in a primipara client by the third postpartum day