What is the most important factor for successful teaching of the pregnant client by the maternity nurse?

The order in which the information is presented

The extent to which the pregnancy was planned

The client's readiness to learn

The client's educational background

Answer and Explanation

The Correct Answer is C

Choice A reason: The order in which the information is presented is not the most important factor, as it does not affect the client's motivation or ability to learn. The order of the information should be logical and sequential, but it can vary depending on the client's needs, preferences, and learning style. The nurse should assess the client's prior knowledge and tailor the teaching accordingly.

Choice B reason: The extent to which the pregnancy was planned is not the most important factor, as it does not determine the client's interest or willingness to learn. The pregnancy may be planned or unplanned, but the client may still have questions, concerns, or goals related to the pregnancy. The nurse should respect the client's feelings and emotions and provide support and guidance.

Choice C reason: The client's readiness to learn is the most important factor, as it influences the client's engagement and retention of the information. The client's readiness to learn depends on the client's perception of the relevance, importance, and benefits of the information, as well as the client's physical, psychological, and social readiness. The nurse should assess the client's readiness to learn and use appropriate strategies to enhance it, such as setting realistic and specific objectives, providing positive feedback, and involving the client in the learning process.

Choice D reason: The client's educational background is not the most important factor, as it does not reflect the client's learning needs or capabilities. The client's educational background may vary, but the client may still have similar or different learning needs depending on the pregnancy situation. The nurse should not assume the client's level of understanding or knowledge based on the client's educational background, but rather use simple and clear language, avoid medical jargon, and check for comprehension.

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Correct Answer is A

Explanation

Choice A reason: Fetal sleep cycles are a normal physiological cause of decreased variability in the FHR, which is the fluctuation of the baseline FHR above and below 2 cycles per minute. Fetal sleep cycles usually last 20 to 40 minutes and do not affect the fetal well-being.

Choice B reason: Umbilical cord compression is an abnormal cause of decreased variability in the FHR, as it reduces the blood flow and oxygen delivery to the fetus. It can also cause variable decelerations, which are abrupt decreases in the FHR below the baseline.

Choice C reason: Altered cerebral blood flow is an abnormal cause of decreased variability in the FHR, as it indicates a compromise in the fetal central nervous system. It can also cause late decelerations, which are gradual decreases in the FHR after the peak of a contraction.

Choice D reason: Fetal hypoxemia is an abnormal cause of decreased variability in the FHR, as it reflects a severe lack of oxygen in the fetal blood. It can also cause sinusoidal pattern, which is a smooth, undulating waveform in the FHR.

A. oral antiviral therapy. B. antibiotics only until symptoms subside. C. frequent pelvic examination to monitor the progress of healing. D. bed rest in a semi-Fowler position.

Correct Answer is D

Explanation

Choice A reason: This is incorrect because oral antiviral therapy is not effective for PID, which is caused by bacterial infection. Antiviral therapy is used for viral infections, such as herpes or HIV.

Choice B reason: This is incorrect because antibiotics only until symptoms subside is not sufficient for PID, which can cause serious complications, such as infertility, ectopic pregnancy, or chronic pelvic pain. Antibiotics should be continued for the full course of treatment, usually 14 days, to ensure complete eradication of the infection.

Choice C reason: This is incorrect because frequent pelvic examination to monitor the progress of healing is not recommended for PID, which can cause inflammation and irritation of the pelvic organs. Pelvic examination should be avoided or minimized to prevent further trauma or spread of the infection.

Choice D reason: This is correct because bed rest in a semi-Fowler position is beneficial for PID, which can cause fluid accumulation and pressure in the pelvic cavity. Bed rest helps to reduce inflammation and pain, while semi-Fowler position helps to drain the fluid and prevent abscess formation.

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What is the most important factor for successful teaching of the pregnant client by the maternity nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The most common cause of decreased variability in the fetal heart rate (FHR) that lasts 30 minutes or less is:

Correct Answer is A

Explanation

Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include:

Correct Answer is D

Explanation

Which of the following is a positive sign of pregnancy that can only be exhibited by a pregnant woman?

When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

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A pregnant woman's biophysical profile score is 8. She asks the nurse to explain the results. The nurse's best response is:

Why is glucose metabolism profoundly affected during pregnancy?

The drug of choice for treatment of gonorrhea is:

What should the nurse tell a pregnant woman at 10 weeks of gestation who jogs 3 or 4 times per week and is concerned about the effect of exercise on the fetus?