A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year old child that was delivered at 37 weeks and tells the nurse that she doesn't have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as: Show
1, 4, 5, and 6. The probable signs of pregnancy include uterine enlargement, Hegar's sign (softening and thinning of the uterine segment that occurs at week 6), Goodell's sign (softening of the cervix that occurs at the beginning of the 2nd month), Chadwick's sign (bluish coloration of the mucous membranes of the cervix, vagina, and vulva that occurs at week 6), ballottement (rebounding of the fetus against the examiners fingers of palpation), Braxton Hicks contractions and a positive pregnancy test measuring for hCG. Positive signs of pregnancy include fetal heart rate detected by electronic device (Doppler) at 10-12 weeks and by nonelectronic device (fetoscope) at 20 weeks gestation, active fetal movements palpable by the examiner, and an outline of the fetus via radiography or ultrasound. Recommended textbook solutions
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Which food would the nurse recommend to a pregnant client to most significantly increase the client's intake of folic acid?Folate-rich food sources are citrus fruits, dark-green leafy vegetables, nuts, and liver. Folate requirements increase during pregnancy as a result of rapidly dividing cells related to fetal growth.
What is the essential nutrient for a woman during the initial stages of pregnancy?Folate and folic acid — Prevent brain and spinal cord birth problems. Folate is a B vitamin that helps prevent serious problems with the developing brain and spinal cord (neural tube defects). The synthetic form of folate found in supplements and fortified foods is known as folic acid.
When counseling a client about getting enough iron in her diet the maternity nurse should tell her that *?Lactating women should consume about 500 kcal more than their prepregnancy intake, at least 1800 kcal daily overall. When counseling a client about getting enough iron in her diet, the maternity nurse should tell her that: A. milk, coffee, and tea aid iron absorption if consumed at the same time as iron.
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