Page 74 - ترم ثاني كتاب تمريض صحة الام الكتروني
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            19. A pregnant client is being seen for routine antenatal care. The client is 28wks's
            gestation with her first pregnancy and has a history of systemic lupus erythematous.
            Choose which outcome is most associated with chronic medical illness in a pregnant

            mother?
            a. The mother will have difficult time becoming pregnant again.

            b. The mother will be at higher risk of postpartum psychosis
            c. The mother will have more difficulties attaching to her infant.
            d. The mother will be more likely to suffer from anxiety
            20. Which of the following common emotional reactions to pregnancy would the

            nurse expect to occur during the first trimester?
            a. Introversion, egocentrism, narcissism.
            b. Awkwardness, Clumsiness, and unattractiveness.

            c. Anxiety, passivity, extroversion.
            d. Ambivalence, fear, fantasies
            21. Which of the following prenatal laboratory test values would the nurse consider

            as significant?
            a. Hematocrit 33.5%
            b. Rubella titre less than 1:8

            c. White blood cells 8000mm
            d. one hour glucose challenge test 110mg/dl.
            22. One component of preconception care is environmental history. List four items
            related to environmental history:

            a. Valproic acid-neural tube defects (1-2%)
            b. Effect on pregnancy Lithium
            c. Tetracycline- deposition in fetal long bones.

            d. Vitamin A derivatives
            23- Define preconception care
            Preconception care is defined as a set of interventions that aim to identify and modify

            biomedical,  behavioral, and  social risks to the woman's health or pregnancy  outcome
            through prevention and management. Certain steps should be taken before conception or

            early in pregnancy to maximize health outcomes.





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