Reference no: EM132470178

1. A pregnancy test confirms that Lechandra is pregnant. Lechandra asks when to expect the baby's birth. Lechandra reports that her last menstrual period began on June 19, 2005. What should the nurse explain to Lechandra about her expected date of birth? Estimated due date would be around March 30, 2006

2. Lechandra, a 27-year-old woman, calls the women's health clinic and tells the nurse practitioner that her menstrual period, which usually occurs regularly every 28 days, is 3 weeks late. She thinks she may be pregnant because she and her husband of 2 years have been trying to have a baby for the past 6 months. An appointment is made with Lechandra to determine if she is pregnant and to begin prenatal care if she is. Lechandra tells the nurse that she works full time and asks if it would be okay if she comes for prenatal care when she notices problems rather than coming on a regular basis according to a schedule. She assures the nurse that she will read a lot about pregnancy in her free time and consult with her friends for advice because many of them have already been pregnant. What should the nurse tell Lechandra?

3. At her second prenatal visit, Lechandra begins to ask questions about sexuality during pregnancy. She states that she and her husband enjoy each other sexually but now are afraid to do anything because it may hurt her or the baby. How should the nurse respond to Lechandra's concern?

2nd Trimester

4. Latonya is a multigravida, pregnant for the third time (3-1-0-1-1). She is currently 18 weeks pregnant, and her health and well-being have been good as determined during regular prenatal visits. This is Latonya's third pregnancy. Her first pregnancy resulted in a spontaneous abortion, and her second pregnancy resulted in the full-term birth of her daughter, who is now 4 years old. Latonya is married and works full time as a bank teller. Latonya expresses concern about a more irregular bowel elimination pattern over the last week or so. "I wasn't constipated with my last pregnancy, and I certainly do not want to be now." State the nursing diagnosis reflective of Latonya's concern, one expected outcome, and appropriate nursing measures.

5. Latonya is a multigravida, pregnant for the third time (3-1-0-1-1). She is currently 18 weeks pregnant and her health and well-being have been good as determined during regular prenatal visits. This is Latonya's third pregnancy. Her first pregnancy resulted in a spontaneous abortion, and her second pregnancy resulted in the full-term birth of her daughter, who is now 4 years old. Latonya is married and works full time as a bank teller. Latonya asks if she should continue to work, especially because she has a 4-year-old daughter to care for. How should the nurse reply?

6. Latonya is a multigravida, pregnant for the third time (3-1-0-1-1). She is currently 18 weeks pregnant, and her health and well-being have been good as determined during regular prenatal visits. This is Latonya's third pregnancy. Her first pregnancy resulted in a spontaneous abortion, and her second pregnancy resulted in the full-term birth of her daughter, who is now 4 years old. Latonya is married and works full time as a bank teller. Latonya asks the nurse if she and her husband should prepare a birth plan, "so we could have more control over what is happening than the last time." What should the nurse tell Latonya?

3rd Trimester

7. Nadine is an unmarried, 20-year-old nulliparous woman beginning her third trimester. The father of the baby is actively involved in the pregnancy and plans to help Nadine during labor and with the parenting of their child. Nadine asks the nurse if there is anything that she can do to determine if her baby is "doing okay or having problems." How should the nurse respond?

8. Nadine is an unmarried, 20-year-old nulliparous woman beginning her third trimester. The father of the baby is actively involved in the pregnancy and plans to help Nadine during labor and with the parenting of their child. While the nurse examines her abdomen, Nadine tells the nurse that she occasionally experiences burning in her chest area after meals. How should the nurse respond?

9. Nadine is an unmarried, 20-year-old nulliparous woman beginning her third trimester. The father of the baby is actively involved in the pregnancy and plans to help Nadine during labor and with the parenting of their child. When Nadine is at 32 weeks' gestation she complains of having difficulty sleeping even though she is tired. She asks for a prescription for a sleeping pill. How should the nurse respond to Nadine's request?