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    Leifer: Introduction To Maternity and Pediatric Nursing, 8th Edition

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    Leifer: Introduction To Maternity and Pediatric Nursing, 8th Edition

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    Chapter_005

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    11 views1 page

    Leifer: Introduction To Maternity and Pediatric Nursing, 8th Edition

    Uploaded by

    john
    Crit thinking answers

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
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    Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition

    Chapter 05: Nursing Care of Women with Complications During Pregnancy

    Answer Key—Unfolding Case Study

    1. Chadwick’s sign is the bluish discoloration of the cervix and vulva caused by increased
    vascular congestion. It is a probable sign of pregnancy.

    2. Bleeding in early pregnancy is most commonly caused by a possible threatened abortion, an


    ectopic pregnancy, or a hydatidiform mole.

    3. Data collection should include a history of cramping, backache, location of pain, amount of
    vaginal bleeding, vital signs, and last oral intake and output.

    4. Excessive nausea and vomiting that interferes with food intake and fluid balance is not a
    normal occurrence.

    5. If nausea and vomiting are excessive, dehydration and electrolyte balance is treated with oral
    or intravenous fluids and antiemetic drugs. Hospital admission may be necessary with total
    parenteral nutrition in severe cases. Other causes of nausea and vomiting will be ruled out such
    as gastroenteritis, gallbladder disorders, or pancreatic disorders. Techniques that reduce factors
    that trigger nausea are taught to the patient, such as avoiding food odors. Small frequent feedings
    of easily digested carbohydrate foods are recommended. Sitting upright after meals, avoiding
    gastric distention, and reducing stress are also recommended.

    6. Fetal heart tones via fetoscope may not be audible before the second trimester, although a
    Doppler device can detect the fetal heart as early as 10 weeks. It may be normal not to hear the
    fetal heart via fetoscope in the first trimester.

    Copyright © 2019, Elsevier Inc. All Rights Reserved.

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