Maternal Child Nursing
Care Chapter 18 Maternal
Physiologic Changes,
Chapter 18: Postpartum
Physiologic Changes
Perry: Maternal Child
Nursing Care, 6th Edition
A firm, muscular wall with less adipose tissue would
ensure that the patient is able to regain the
prepregnancy abdominal tone after delivery. Thus the
nurse should advise the patient to do static abdominal
exercises during pregnancy. The abdominal tone is not a
factor based on which the nurse can determine whether
the patient would have a normal vaginal delivery.
Patients with weak abdominal muscles, especially those
who have multifetal gestation or a large fetus, are at the
risk of having diastasis recti abdominis. These abdominal
striations usually do not fade away completely. Although
the abdominal skin retains its tone, some striae always
remain. - ANSWER-The nurse advises a pregnant patient
to do static abdominal exercises. How would these
exercises benefit the patient?
1
They will lead to a normal vaginal childbirth.
2
The patient will have diastasis recti abdominis.
3
The patient will not have any abdominal striations.
4
They will help the patient to gain proper abdominal tone
after delivery.
4
Fingernails may regain strength to the prepregnancy
state in a few weeks after delivery. Brittle and soft nails
are caused by iron deficiency, not potassium deficiency.
Carpal tunnel syndrome causes physiologic edema due to
compression of the median nerve, but it does not cause
brittle and soft nails. Moisture can cause soft and brittle
fingers, so moisture should be reduced, not enhanced. -
ANSWER-A pregnant patient reports to the nurse, "My
nails are soft and brittle, and I am worried about it."
What is the nurse's best response to the patient?
1
"You should make sure your nails are well moisturized."
2
"You have low potassium, so take potassium
supplements."
3
"Your nails are soft and brittle due to carpal tunnel
syndrome."
4
"After delivery your nails should return to normal
consistency and strength."
1, 4, 5
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