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1) Explain why folate supplementation is important

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1) Explain why folate supplementation is important. What criteria will measure adequate caloric intake during pregnancy? Compare the three stages of adolescence: early adolescence, middle adolescence, and late adolescence. Describe the major factors that contribute to adolescent pregnancy. Identify the physical, psychologic, and sociologic risks faced by a pregnant adolescent.

2) Review Braxton Hicks contractions. Describe the recommended levels of weight gain during pregnancy when providing nursing care for pregnant women. Explain the significance of specific nutrients in the diet of the pregnant woman. Compare nutritional needs during pregnancy, the postpartum period, and lactation with non-pregnant requirements.

3) What do you think he/she will do to help you with child care? Have you and your partner talked about how the baby might change your lives? Who have you told about your pregnancy? Note if partner attends clinic with patient (degree of interest; e.g., listens to heart tones). Does significant other plan to be with patient during labor and birth? Is your partner contributing financially?

4) What age do you see your baby at? How would you like your new baby to look? How does your partner feel about this pregnancy? How do your parents feel? What do your friends think? Does your partner have a preference regarding the baby’s sex? Why? How does your partner feel about being a parent? What do you think he/she will be like as a parent?

5) Have you done any reading, baby-sitting, or made any things for a baby? Why do you prefer a certain sex? (Is reason inappropriate for a baby?) Note comments patient makes about baby not being normal and why patient feels this way. What did you think or feel when you first felt the baby move? Have you started preparing for the baby? What do you think your baby will look like?

6) Did you plan on getting pregnant? How do you feel about being pregnant? Why do you want this baby? What do you think it will be like to take care of a baby? How do you think your life will be different after you have your baby? How do you feel this baby will affect your job, career, school, and personal goals? How will the baby affect your relationship with your partner?

7) Contrast the various types of pregnancy tests. Examine the emotional and psychologic changes that commonly occur in a woman, her partner, and her family during pregnancy when providing nursing care. Discuss cultural factors that may influence a family’s response to pregnancy in the provision of nursing care. What advice would you suggest to cope with the nausea of pregnancy?

8) Were you encouraged to be mobile during labor or to do what you wanted to do (walking, sitting in a rocking chair, sitting in a whirlpool bath, standing in a shower, and so on)? If not, were there reasonable circumstances that prevented you from doing so? l Were you encouraged to be actively involved in your plan of care and kept well informed of progress or proposed changes?

9) Are you familiar with fill in complementary or alternative forms of health care that may be used currently? How will this practice impact my plan of care? l What type of insurance plans do you accept? Do you care for women on public assistance, such as Medicaid? Are payment options available for out-of-pocket expenses or if self-pay arrangements are needed?

10) What are your feelings about fill in special desires for the birth event: different positions assumed during labor, episiotomy, induction of labor, other people present during the birth, breastfeeding immediately after the birth, no separation of infant and parents following birth, and so on? l If a cesarean birth is necessary, could my partner be present?

11) What steps can they take to prepare themselves for this wonderful occasion? How do they approach their new roles as parents? Who is in practice with you, or who covers for you when you are unavailable? l How do your partners’ philosophies compare with yours? l How do you feel about my partner, other support person, or other children coming to the prenatal visits?

12) Describe interventions that can be implemented by the childbirth educator to decrease pregnant women’s anxiety. Compare methods of childbirth preparation and the nursing interventions for each. Examine ways in which the nurse conveys respect for patient individuality in preparing for childbirth. Where will the birth be? Who do they wish to be present?

13) Explore with Marie natural family planning. How would you explain this to her? Briefly explain why the basal body temperature (BBT) method can predict ovulation. How would you describe to Marie the procedure for obtaining BBT? After figuring out her menstruation cycle, to avoid conception when would you tell Marie to abstain from unprotected intercourse?

14) Compare prenatal and postnatal diagnostic procedures used to determine the presence of genetic disorders and the nursing considerations for each. Examine the emotional impact on a couple undergoing genetic testing or coping with the birth of a baby with a genetic disorder. Explain the nurse’s role in supporting the family undergoing genetic counseling.

15) Relate the implications of pelvic inflammatory disease (PID) for future fertility to its pathology, signs and symptoms, treatment, and nursing care. Compare the cause and implications of an abnormal finding during a pelvic examination in the provision of nursing care. Contrast the causes, signs and symptoms, treatment options, and nursing care for women with cystitis versus pyelonephritis.

16) Contrast the contributing factors, signs and symptoms, treatment options, and nursing care management of women with common benign breast disorders. Explain the signs and symptoms, medical therapy, and implications for fertility of endometriosis. Identify the risk factors, treatment options, and nursing interventions for a woman with toxic shock syndrome.

17) What steps would you take to reduce Joy’s anxiety relating to the pelvic exam? What position is best to relax Joy’s abdominal muscles for the pelvic exam? What precaution should be taken when obtaining a Pap smear? Explain the purpose of the Pap smear. What factors do you include in a discussion of the type of birth control that Joy could practice?

18) Based on your knowledge of menstruation, how would you describe Sally’s menstrual cycle? What is your primary goal in discussing Sally’s menstrual cycle with her? What information would you give Sally relating to her menstrual cycle? What important request does Sally have? Sally expresses problems dealing with the cramping she experiences with the first 2 days of her menses.

19) How can you, as the nurse, take steps to achieve cultural competence? How would you, as the nurse, be able to address some of the disparities that can exist when this patient comes to the clinic? What are some examples of common food preferences in the Latino American culture? Identify the structures and functions of the female reproductive system.

20) What type of healthcare provider is most appropriate for the patient? l Does the patient have beliefs or traditions that may affect the plan of care? . According to the national standards for culturally and linguistically appropriate services in health care set by the government, what are examples of important standards of care that you, as the nurse, can provide in the care of this adolescent?