geslal|or Tre re|groor corp|a|rs ol rausea, readacre, ard o|urred v|s|or Tre rurse roles lral lre re|groor appears rervous, d|aprorel|c, ard |s exper|erc|rg lrerors ll Wou|d oe rosl |rporlarl lor lre rurse lo as| Wr|cr ol lre lo||oW|rg quesl|ors? a ' Are you rav|rg a rerslrua|-|||e crarps? o ' wrer d|d you |asl eal or dr|r| c ' lave you oeer d|agrosed W|lr d|aoeles? d ' lave you oeer |y|rg or lre coucr? 2 Tre rurse |s car|rg lor c||erls |r lre 0YN c||r|c A c||erl corp|a|rs ol ar oll-Wr|le vag|ra| d|scrarge W|lr a curd- |||e appeararce Tre rurse roles lre d|scrarge ard vu|vu|ar erylrera ll Wou|d oe V03T |rporlarl lor lre rurse lo as| Wr|cr ol lre lo||oW|rg quesl|ors? a' 0o you doucr? o' Are you sexua||y acl|ve? c'wral ||rd ol o|rlr corlro| do you use? d' lave you la|er ary cougr red|c|re? 3 Tre rurse |s car|rg lor a c||erl |r lre prerala| c||r|c Tre rurse roles lral lre c||erl's crarl corla|rs lre lo||oW|rg |rlorral|or: 8 |ood lype A8, Rr regal|ve; sero|ogy-regal|ve; lrd|recl Cooros lesl-regal|ve; lerla| palerr|ly-ur|roWr Tre rurse srou|d arl|c|pale la||rg Wr|cr ol lre lo||oW|rg acl|or? a Adr|r|sler Rro (0) |rrure g|oou||r ( Rro0AV) o 3credu|e ar arr|ocerlec|s c 0ola|r a d|recl Cooros lesl d Assess ralerra| serur lor A|pra-lela| prole|r |eve| 1 Tre rurse |s car|rg lor a Worar al 3Z Wee|s' geslal|or Tre c||erl Was d|agrosed W|lr lrsu||r-deperderl d|aoeles re|||lus (l00V) al age Z Tre c||erl slales, ' l ar so lrr|||ed lral l W||| oe oreaslleed|rg ry oaoy wr|cr ol lre lo||oW|rg resporses oy lre rurse |s 8E3T? a ' You W||| prooao|y reed |ess |rsu||r Wr||e you are oreaslleed|rg o ' You W||| reed lo |r|l|a||y |rcrease your |rsu||r aller lre oaoy |s oorr c ' You W||| oe ao|e lo la|e ar ora| rypog|ycer|c |rslead ol |rsu||r aller lre oaoy |s oorr d ' You W||| prooao|y requ|re lre sare dose ol |rsu||r lral you are roW la||rg 5 Tre rurse al lre o|rlr|rg lac|||ly |s car|rg lor a pr|r|para Worar |r |aoor, Wro |s 1cr d||aled, 25 ellaced, ard Wrose lela| verlex |s al Tre prys|c|ar |rlorrs lre c||erl lral ar arr|olory |s lo oe perlorred Tre c||erl slales, ' Vy lr|erd's oaoy d|ed Wrer lre uro|||ca| cord care oul Wrer rer Waler oro|e l dor'l Warl you lo do lral lo rel wr|cr ol lre lo||oW|rg resporses oy lre rurse |s 8E3T? a ' ll you are lral corcerred, you srou|d reluse lre procedure o ' Tre procedure W||| re|p your |aoor go lasler c ' Tral srou|dr'l rapper lo you s|rce lre oaoy's read |s ergaged d ' we W||| ror|lor you carelu||y lo preverl cord pro|apse Tre rurse |s leacr|rg a c|ass or ralura| lar||y p|arr|rg wr|cr ol lre lo||oW|rg slalererls, |l rade oy a c||erl, |rd|cales lral leacr|rg ras oeer successlu|? a ' wrer l ovu|ale, ry oasa| oody lerperalure W||| oe e|evaled lor lWo days ard lrer W||| decrease o ' Vy cerv|ca| rucus W||| oe lr|c|, c|oudy, ard sl|c|y wrer l ovu|ale c ' 3|rce l ar regu|ar, l W||| oe lerl||e aooul 1 days aller lre oeg|rr|rg ol ry per|od d ' wrer l ovu|ale, ry cerv|x W||| lee| l|rr Z Tre rurse |r lre poslparlur ur|l cares lor a c||erl Wro de||vered rer l|rsl cr||d lre prev|uos day 0ur|rg rer assessrerl ol lre c||erl, lre rurse roles ru|l|p|e var|cos|l|es or lre c||erl's |oWer exlrerel|es wr|cr ol lre lo||oW|rg acl|uors srou|d lre rurse perlorr? aTeacr lre c||erl lo resl |r oed Wr||e lre oaoy s|eeps o Ercourage ear|y ard lrequerl arou|al|or c App|y Warr soa|s lor 20r|rules every lour rours d Perlorr pass|ve rarge ol rol|or exerc|ces lrree l|res da||y 8 A Worar cores lo lre c||r|c oecause sre lr|r|s sre |s pregrarl Tesls are perlorred ard lre pregrarcy |s corl|rred Tre c||erl's |asl rerslrua| per|od oegar or 3epleroer 8 ard |asled lor days Tre rurse ca|cu|ales lral rer expecled dale ol corl|rererl (E0C) |s: a Vay 5 o ure 5 c ure 2 d u|y 8 9 Tre rurse leacres a pr|r|grav|da roW lo reasure lre lrequercy ol uler|re corlracl|ors Tre rurse srou|d exp|a|r lo lre c||erl lral lre lrequercy ol uler|re corlracl|ors |s delerr|red: a ror lre oeg|rr|rg ol ore corlracl|or lo lre erd ol rexl corlracl|or o ror yre oeg|rr|rg ol ore corlracl|or lo yre erd ol lre sare corlracl|or c 8y lre ruroer ol corlracl|ors lral occur W|lr|r a g|ver ruroer ol l|re d 8y lre slrerglr ol corlracl|or al |ls pea| 0 Tre rurse perlorrs leacr|rg W|lr a Worar rece|v|rg eslroger rep|acererl lrerapy wr|cr ol lre lo||oW|rg slalererls, |l rade oy lre rurse lo lre Worar, |rd|cales lral lre rurse |s aWare ol lre poss|o|e corp||cal|ors ol eslroger lrerapy? a ' Ta|e ar ara|ges|c oelore you la|e eslroger, s|rce eslroger cause d|scorlorl o 'Va|e sure you |eep your c||r|c appo|rlrerlls, espec|a||y your gyreco|og|c crec|up c ' L|r|l your l|u|d |rla|e s|rce eslroger proroles lre relerl|or ol l|u|ds d ' lrcrease rougrage |r your d|el lo avo|d corsl|pal|or A pr|r|grav|da al 28 Wee| geslal|or la|es a lrree rour g|ucose lesl Tre resu|ls |rd|cales a lasl|rg o|ood sugar ol 00rg/d| ard a 2 rour posl-|oad o|ood sugar ol 300rg/d| wr|cr ol lre lo||oW|rg rurs|rg d|agros|s srou|d oe cors|dered lre ll0lE3T pr|or|ly al lr|s l|re? aPolerl|a| lrpa|red ar||y Cop|rg re|aled lo d|agros|s ol geslal|ora| d|aoeles re|||lus (00V) oPolerl|a| rorcorp||arce re|aled lo |ac| ol |roW|edge or |ac| ol adequale supporl sysler cPolerl|a| lor a|lered parerl|rg re|aled lo d|sappo|rlrerl dlrellecl|ve lar||y cop|rg re|aled lo arl|c|palory gr|ev|rg 2 A Worar cores lo lre c||r|c al 32 Wee|s geslal|or A d|agros|s ol pregrarcy |rduced ryperlers|or (Pll) |s rade Tre rurse perlorrs leacr|rg wr|cr ol lre lo||oW|rg slalererls, |l rade oy lre c||erl, |rd|cales lo lre rurse lral lurlrer leacr|rg |s requ|red? a ' Ly|rg |r oed or ry |ell s|de |s |||e|y lo |rcrease ry ur|rary oulpul o ' ll lre oed resl Wor|s, l ray |ose a pourd or lWo |r lre rexl leW days c 'l srou|d oe sure lo ra|rla|r a d|el lral ras a good arourl ol prole|r d ' l W||| rave lo |eep ry roor dar|ered ard rol Walcr rucr le|ev|s|or 3 A Worar cores lo lre prys|c|ar's oll|ce lor a roul|re prerala| crec|up al 31 Wee|'s geslal|or Aodor|ra| pa|pal|or revea|s lre lela| pos|l|or as r|grl occ|p|la| arler|or (R0A) Al Wr|cr ol lre lo||oW|rg s|les Wou|d lre rurse expecl lo l|rd lre lela| rearl lore? a 8e|oW lre uro|||cus, or lre rolrer's |ell s|de o 8e|oW lre uro|||cus, or lre rolrer's r|grl s|de c Aoove lre uro|||cus, or lre rolrer's |ell s|de d Aoove lre uro|||cus, or lre rolrer's r|grl s|de 1 Tre rurse |s car|rg lor a Rr regal|ve rolrer Wro ras de||vered ar Rr pos|l|ve cr||d Tre rolrer slales, lre 0oclor lo|d re aooul Rro0AV, oul l'r sl||| a ||ll|e corlused wr|cr ol lre lo||oW|rg resporses, |l rade oy lre rurse,|s V03T appropr|ale? a 'Rro0AV |s g|ver lo your cr||d lo preverl lre deve|oprerl ol arl|ood|es o 'Rro0AV |s g|ver lo your cr||d lo supp|y lre recessary arl|ood|es c 'Rro0AV |s g|ver lo you lo preverl lre lorral|or ol arl|ood|es d 'Rro0AV |s g|ver lo you lo ercourage lre producl|or ol arl|ood|es 5 Tre ca|or|c |rcrease |r rulr|l|ora| requ|rererls dur|rg pregrarcy lor a pal|erl ol rorra| We|grl |s: a 300|ca| o 100|ca| c 500|ca| d ,000 |ca| 0ur|rg prerala| screer|rg ol a d|eoel|c c||erl, lre rurse srou|d |eep |r r|rd lral lre c||erl |s al |rcreased r|s| lor: a Rr |rcorpal|o|||ly o P|acerla prev|a c lypereres|s d 3l|||o|rlr Zwrer car|rg lor lre preec|arpl|c c||erl dur|rg |aoor, lre rurse srou|d? a 0|ve a l|u|d oo|us oelore lre secord slage o 0|ve exlra l|u|ds lrrougroul |aoor c Reslr|cl lre arourl ol l|u|d adr|r|slered d Relra|r lror adr|r|sler|rg l|u|ds dur|rg |aoor 8 wrer car|rg lor a preec|arpl|c c||erl dur|rg |aoor,lela| ror|lor|rg srou|d oe perlorred: a 8elore eacr corlracl|or lrrougroul |aoor o 8elWeer corlracl|ors lrrougroul |aoor c 0ur|rg eacr corlracl|or lrrougroul |aoor d Corl|ruous|y lrrougroul |aoor 9 A pregrarl c||erl Wro |s pos|l|ve lor rurar |rrurodel|c|ercy v|rus as|s lre rurse aooul drug lrerapy Tre rurse srou|d le|| lre c||erl lo expecl lo: a 3larl la||rg z|dovud|re oelWeer lre 1 lr ard 31 lr Wee|s o 0e|ay la||rg z|dovud|re url|| aller lre lelus |s oorr c 0e|ay la||rg z|dovud|re url|| lre lr|rd lr|resler d 0e|ay slarl|rg z|dovud|re lrerapy |r lre reWoorr url|| age s|x rorlrs 20 wr|cr ol lre lo||oW|rg red|cal|ors prorole lela| |urg ralur|ly |r cases ol prelerr |aoor? a Teroula||re o 8elarelrasore c Co-lr|roxaso|e d C|ar|lrroryc|r 2 Tre c||erl, a ru|l|grav|da |r rer 38 lr Wee| ol geslal|or,ras core lo lre erergercy deparlrerl corp|a|r|rg ol cresl pa|r 3re le||s lre rurse lral sre recerl|y |rra|ed crac| coca|re Tre rurse's lop pr|or|ly |s lo assess pal|erl lor? a Aorupl|or p|acerla o P|acerla accrela c Va|rulr|rl|or d lypolers|or 22 Tre c||erl, a ru|l|grav|da |r rer 39 lr Wee| ol geslal|or, |s d|agrosed W|lr Pll ard lELLP syrdrore Tre rurse's lop pr|or|ly |s lo assess lre c||erl's: a w8C courl o 8|ood g|ucose |eve|s c P|asra |eve|s d P|ale|el courl 23 wr|cr ol lre lo||oW|rg s|grs srou|d lre rurse expecl lo l|rd dur|rg prys|ca| assessrerl ol a pr|r|grav|da |r rer 8 lr Wee| ol geslal|or? a 8a||olererl o "u|c|er|rg c Pa|pal|or ol lre lela| oul||re d legar's s|gr 21 0ur|rg lre l|rsl c||r|c v|s|l, lre c||erl reporls lral rer |asl rerslrua| per|od (LVP) oegar or 3epleroer 2 8ased or Nage|e's ru|e, Wral |s lre c||erl's esl|raled dale ol de||very (E00)? a ure o ure 9 c u|y 0 d u|y 29 25 A c||erl |r lre 28 lr Wee| ol geslal|or cores lo lre erergercy deparlrerl oecause sre lr|r|s lral sre |s |r |aoor To corl|rr a d|agros|s ol prelerr |aoor, lre rurse Wou|d expecl prys|ca| exar|ral|or lo revea|? a lrregu|ar uler|re corlracl|ors W|lr ro cerv|ca| d||alal|or o Pa|rlu| corlracl|ors W|lr ro cerv|ca| d||alal|or c Regu|ar uler|re corlracl|ors W|lr cerv|ca| d||alal|or d Regu|ar uler|re corlracl|ors W|lr ro cerv|ca| d||alal|or 2 A c||erl |r lre acl|ve prase ol |aoor ras a reacl|ve lela| ror|lor slr|p ard ras oeer ercourage lo Wa|| wrer sre relurrs lo oed lor a ror|lor crec|, sre corp|a|rs ol ar urge lo pusr wrer perlorr|rg a vag|ra| exar|ral|or, lre rurse acc|derla||y ruplures lre arr|ol|c rerorares, ard as sre W|lrdraWs rer rard, lre uro|||ca| ord cores oul wral srou|d lre rurse do rexl? aPul lre c||erl |r a |ree-lo-cresl pos|l|or oCa|| lre prys|c|ar or r|dW|le cPusr doWr or lre uler|re lurdus d3el up lor a lela| o|ood sarp||rg lo assess lor lela|o|ood ac|dos|s 2Z A c||erl |s allerpl|rg lo de||ver vag|ra||y desp|le lre lacl lral rer prev|ous de||very Was oy cesarear de||very ler corlracl|ors are 2 lo 3 r|rules aparl, |asl|rg lror Z5 lo 00 secords 3udder|y, lre c||erl corp|a|rs ol |rlerse aodor|ra| pa|r ard lre lela| ror|lor slops p|c||rg up corlracl|ors Tre rurse recogr|zes lral Wr|cr ol lre lo||oW|rg ras occurred? a Aorupl|o p|acerla o Pro|apsed cord c Parl|a| p|acerla prev|a d Corp|ele uler|re ruplure 28 A c||erl W|lr grav|da 3 para 2( 3 pregrarc|es ard 2 cr||drer) al 10 Wee|s' geslal|or |s adr|lled W|lr sporlareouseous corlracl|ors Tre prys|c|ar perlorrs ar arr|olory lo augrerl rer |aoor Tre pr|or|ly rurs|rg acl|or |s lo? a Exp|a|r lre ral|ora|e lor lre arr|olory lo lre c||erl o Assess lela| rearl lores aller lre arr|olory c Arou|ale lre c||erl lo slrerglrer lre corlracl|or pallerr d Pos|l|or lre c||erl |r a ||lrolory pos|l|or lo adr|r|sler per|rea| care 29Tre rurse car cors|der lre lelus's read lo oe ergaged Wrer: aTre preserl|rg parl roves lrrougr lre pe|v|s oTre lela| read rolales lo pass lrrougr lre |scr|a| sp|re cTre lela| read exlerds as |l passes urder lre syrprys|s puo|s dTre o|par|ela| d|areler passes lre pe|v|c |r|el 30A c||erl |s exper|erc|rg lrue |aoor Wrer rer corlracl|or pallerr sroWs: a 0ccas|ora| |rregu|ar corlracl|ors o lrregu|ar corlracl|ors lral |rcrease |r |rlers|ly c Regu|ar corlracl|ors lral rera|r lre sare d Regu|ar corlracl|ors lral |rcrease |r lrequercy ard dural|or 3A c||erl |s adr|lled lo lre rosp|la| W|lr corlracl|orrs lral are aooul lo 2 r|rules aparl ard |asl lor 0 secords vag|ra| exar|ral|or revea|s lral rer cerv|x |s d||aled 8cr Tre c||erl |s |r Wr|cr slage ol |aoor? a Tre |alerl prase o Tre acl|ve prase c Tre lr|rd slage d Tre lrars|l|ora| prase 32A c||erl |r lre secord slage ol |aoor exper|erces ruplure ol rerorares Tre rosl appropr|ale |rlerverl|or oy lre rurse |s lo: a Assess lre c||erl's v|la| s|grs |rred|ale|y o 0oserve lor pro|apsed cord ard ror|lor lela| rearl rale (lR) c Adr|r|sler oxyger lrrougr lace ras| al lo 0 ||lers per r|rule d Pos|l|or lre c||erl or rer |ell s|de 33 A c||erl |r |aoor |s oe|rg ror|lored oy ar lrlerra| e|eclror|c dev|ce lo eva|uale lela| slalus Tre rurse reasures lre dural|or ol rer corlracl|ors oy: a Veasur|rg lror lre oeg|rr|rg ol lre |rcrererl lo lre erd ol lre decrererl o Veasur|rg lror lre oeg|rr|rg ol ore corlracl|or lo lre oeg|rr|rg ol lre rexl c Veasur|rg lror lre oeg|rr|rg ol lre decrererl lo lre erd ol lre |rcrererl d &s|rg ar |rlrauler|re calreler lral reasures |rcreases |r corlracl|or pressures 31 A c||erl |s rece|v|rg a ragres|ur su|lale lo re|p suppress prelerr |aoor Tre rurse srou|d Walcr lor Wr|cr s|gr ol ragres|ur lox|c|ly? a leadacre o Loss ol deep lerdor rel|exes c Pa|p|lal|ors d 0yspeps|a 35 wrer assess|rg a poslparlur c||erl lor uler|re o|eed|rg, lre rurse l|rds lre lurdus lo oe ooggy Aller lurda| rassage oy lre rurse, lre prys|c|ar prescr|oes 02 rg ol relry|ergorov|re (Velrerg|re) oy roulr wral srou|d lre rurse le|| lre c||erl? a 'Velrerg|re |s corror|y used lo re|p lre ulerus corlracl so lral lre o|eed|rg W||| decrease You ray exper|erce rore crarp|rg as your ulerus oecores l|rrer o 'You W||| prooao|y la|e lr|s red|cal|or url|| you are d|scrarged lror lre rosp|la| Every pal|erl usua||y reeds lo la|e lr|s red|cal|or c ' ll your o|ood pressure |s |oW, you Worl oe ao|e lo la|e lr|s red|cal|or; l W||| eslao||sr a reW lv ||re so l car slarl Peloc|r aga|r d 'Vosl peop|e dor'l exper|erce add|l|ora| Pa|r or crarp|rg lror la||rg lr|s red|cal|or 3 Tre rurse |s prov|d|rg care lor a poslparlur c||erl wr|cr ol lre lo||oW|rg cord|l|ors Wou|d p|ace a c||erl al grealer r|s| lor a poslparlur rerorrrage? a lyperlers|or o &ler|re |rlecl|or c P|acerla prev|a d 3evere pa|r 3Z A c||erl ras de||vered lW|rs wral |s lre rosl |rporlarl |rlerverl|or lor lre rurse lo perlorr? a Assess lurda| lore ard |ocr|a l|oW o App|y a co|d pac| lo lre per|rea| area c Adr|r|sler ara|ges|cs as ordered d Ercourage vo|d|rg oy oller|rg lre oedpar 38 wr|cr ol lre lo||oW|rg |s a rorra| prys|o|og|ca| resporse |r lre ear|y poslparlur per|od? a &r|rary urgercy ard dysur|a o Rap|d d|ures|s c 0ecrease |r o|ood pressure d lrcreased rol|||ly ol lre 0l sysler 39 0ur|rg lre 3rd poslparlur day, Wr|cr ol lre lo||oW|rg Wou|d lre rurse oe rosl |||e|y lo l|rd |r lre c||erl? a 3re's |rleresled |r |earr|rg rore aooul reWoorr care o 3re la||s a |ol aooul rer o|rlr exper|erce c 3re s|eeps Wrerever lre oaoy |sr'l preserl d 3re requesl re|p |r croos|rg a rare lor lre oaoy 10 wr|cr ol lre lo||oW|rg c|rcurslarces |s rosl |||e|y lo cause uler|re alory, |ead|rg lo poslparlur rerorrrage? a lyperlers|or o Cerv|ca| ard vag|ra| lears c &r|re relerl|or d Erdorelr|l|s 1wrer assess|rg lre c||erl's ep|s|olory, lre rurse srou|d oe espec|a||y carelu| lo ooserve? aLocal|or o0|scrarge ard odor cEdera ard approx|ral|or d3uo|rvo|ul|or
12 lr perlorr|rg a roul|re lurda| assessrerl, lre rurse l|rds lral lre c||er's lurdus |s ooggy Tre rurse srou| l|rsl: aCa|| lre prys|c|ar oVassage lre lurdus cAssess |ocr|a l|oW d0ola|r ar order lor relry|ergorov|re 13 wr|cr lype ol |ocr|a srou|d lre rurse expecl lo l|rd |r a c||erl Wro |s 2 days poslparlur? a ou|-sre|||rg o 3erosa c A|oa d Ruora 11 A c||erl lrealed W|lr ragres|ur su|lale dur|rg |aoor |s roW or lre poslparlur ur|l Tre rurse srou|d oe aWare lral lre c||erl |s al r|s| lor Wr|cr ol lre lo||oW|rg corp||cal|ors ol ol ragres|ur su|lale lrerapy? alypolers|or o&ler|re |rlecl|or cPoslparlur rerorrrage dPoslparlur depress|or
15A pregrarl c||erl ras oeer d|agrosed W|lr a vag|ra| lror lre orgar|sr Card|da a|o|cars wr|cr l|rd|rgs Wou|d lre rurse expecl lo role or assessrerl ol a c||erl? aAoserce ol ary s|grs ard syrplors oPa|r, |lcr|rg ard vag|ra| d|scrarge cProle|rur|a, reralur|a, edera ard ryperlerl|or dCosloverleora| arg|e pa|r 1A pregrarl c||erl |s suspecled ol rav|rg lror 0el|c|ercy Arer|a (l0A) wr|cr ol lre lo||oW|rg Wou|d lre rurse expecl lo role regard|rg lre c||erl's slalus? a A |oW rerog|oo|r ard reralocr|l |eve| o A r|gr rerog|oo|r ard reralocr|l |eve| c |u|d vo|ure excess d |u|d vo|ure del|c|l 1ZA de||very roor rurse |s prepar|rg lor a c||erl lor a cesarear de||very Tre c||erl |s p|aced or lre de||very roor lao|e ard lre rurse pos|l|ors lre c||erl: a lr Trerde|erourg pos|l|or o lr 3er|-loW|ers pos|l|or c 3up|re pos|l|or W|lr a Wedge urder lre r|grl r|p d lr lre prore pos|l|or 18A pregrarl c||erl lesls pos|l|ve lor lepal|l|s 8 v|rus Tre c||erl as|s lre rurse |l sre W||| oe ao|e lo oreaslleed lre oaoy as p|arred aller de||very wr|cr ol lre lo||oW|rg resporses |s rosl appropr|ale oy lre rurse? a ' You W||| rol oe ao|e lo oreaslleed lre oaoy url|| rorlrs aller de||very o ' 8reaslleed|rg |s rol a proo|er ard you W||| oe ao|e lo oreaslled |rred|ale|y aller de||very c ' 8reaslleed|rg |s a||oWed |l lre oaoy rece|ves Propry|ax|s al o|rlr ard rera|rs or scredu|ed |rrur|zal|ors d ' 8reaslleed|rg |s rol adv|sed, ard you srou|d ser|ous|y Cors|der ooll|e-leed|rg lre oaoy 19 Ararda |s lWo Wee|s |ale lor rer rerslrua| per|od 3re ras oeer lee||rg l|red ard rad oouls ol rausea |r lre ever|rgswral |s lre c|ass|l|cal|or ol lre pregrarcy syrplors Ararda |s exper|erc|rg? a Pos|l|ve o Presurpl|ve c Prooao|e d No c|ass|l|cal|or 50 Ararda ra|es ar appo|rlrerl W|lr ar ooslelr|c|ar dur|rg lre exar, lre ooslelr|c|ar roles lral uler|re |slrrus |s soll wral |s lre rare ol lr|s s|gr, ard roW |s |l c|ass|l|ed? a CradW|c|'s s|gr; presurpl|ve o 0oode||'s s|gr; presurpl|ve c legar's s|gr; presurpl|ve d 0oode||'s s|gr; prooao|e 5 Ararda |s roW Wee|s pregrarl ll lre pregrarcy |s progress|rg as expecled, Wrere Wou|d pracl|l|orer l|rd lre uler|re lurdus? a usl aoove lre puo|c oore o la|lWay oelWeer lre puo|c oore ard uro|||cus c Al lre uro|||cus d Tre uler|re lurdus Wou|d rol oe pa|pao|e al Wee|s 52 You are leacr|rg Ararda aooul a proper d|el dur|rg pregrarcy ll Ararda urderslards your |rslrucl|ors, roW W||| sre rep|y Wrer you as|s rer approx|rale|y roW rary ca|or|es per day does sre reed over rer rorra| pre-pregrarl reeds? a ' aooul 300 o 'approx|rale|y 500 c ' l reed lo douo|e ry ca|or|es oecause lr eal|rg lor lWo d ' l srou|d rol |rcrease ry ca|or|es Wr||e lr pregrarl 53 A Worar reporls lral rer LVP occurred or aruary 0, 2008 &s|rg Nage|e's ru|e, Wral |s rer due dale? a 0clooer Z, 2008 o 0clooer Z, 2009 c 3epleroer Z, 2008 d 3epleroer Z, 2009 51 A c||erl ras oeer |r |aoor lor rours, ard rer corlracl|ors occurr|rg every 2 r|rules ard |asl|rg 80 secords 3re |s d|aprorel|c, resl|ess, ard |rr|lao|e ard le||s lre rurse lral sre carl la|e |l aryrore wr|cr slage or prase ol |aoor |s lre c||erl |r? a Trars|l|ora| prase o Lalerl prase c 3ecord slage d Tr|rd slage 55 Tre rurse srou|d adv|se lre pregrarl c||erl lo use Wr|cr oody pos|l|or lo errarce card|ac oulpul ard rera| lurcl|or? a R|grl |alera| o Lell |alera| c 3up|re d 3er|-loW|er's 5 wrer does lre poslparlur c||erl oeg|r lo accepl lre reorale as separale |rd|v|dua|? a Lell|rg-go prase o Ta||rg-ro|d prase c 0eperderl prase d Ta||rg-|r prase 5Z Tre rurse |s assess|rg a c||erl Wro |s resl|rg corlorlao|y 1 rours aller de||very wr|cr ol lre lo||oW|rg l|rd|rgs |s cors|dered rorra|? a A lrread pu|se o Ar |rregu|ar pu|se c Tacrycard|a d 8radycard|a 58 Tre rurse |s deve|op|rg a leacr|rg p|ar lor a c||erl Wro |s aooul lo d|scrarged aller de||ver|rg a lydal|d|lorr ro|ar pregrarcy wr|cr expecled oulcores la|es r|gresl pr|or|ly? a C||erl slales lral sre ray allerpl arolrer pregrarcy aller 3 ros 0l lo||oW-up care o C||erl scredu|e rer l|rsl lo||oW-up papar|cco|au lor ros aller d|scrarge c C||erl slales lral sre Worl allerpl arolrer pregrarcy url|| rer lC0 |eve| r|ses d C||erl uses a re||ao|e corlracepl|ve relrod url|| rer lo||oW-up care |s corp|ele |r year ard rer lC0 |eve| |s regal|ve 59 A c||erl expresses corcerr lral rer 3-rour o|d reorale |s d|ll|cu|l lo aWa|er Tre rurse exp|a|rs lral lr|s oerav|or |rd|cales? a A prys|o|og|c aororra||ly o Prooao|e rypog|ycer|a c Norra| progress|or |rlo lre s|eep cyc|e d Norra| progress|or |rlo a per|od ol reorala| reacl|v|ly 0 wr|cr ol lre lo||oW|rg lela| rearl rales Wou|d oe expecled |r lre lelus, |r a |aoor|rg Worar, Wro |s lu|| lerr? a 80-00 oeals/r|r o 00-20 oeals/r|r c 20-0 oeals/r|r d 0-80 oeals/r|r wr|cr ol lre lo||oW|rg descr|pl|ors oesl l|ls lre lerr ellacererl? a Er|argererl ol lre cerv|ca| cara| o Expu|s|or ol lre rucus p|ug c 3rorler|rg ard lr|rr|rg ol lre cerv|ca| cara| d 0oWrWard rovererl ol lre lela| read 2 wr|cr ol lre lo||oW|rg relrods ol pa|r corlro| |rcorporales Ell|eurage as a lecrr|que lo d|sp|ace pa|r? a 8rad|ey relrod o lydrolrerapy c Laraze relrod d Nuoa|r relrod 3 wr|cr ol lre lo||oW|rg rorrores sl|ru|ales lre ovary lo produce eslroger dur|rg lre rerslrua| cyc|e? a o|||c|e-sl|ru|al|rg rorrore (3l) o 0oradolrop|r-re|eas|rg rorrore (0rRl) c Lule|r|z|rg rorrore (Ll) d lurar cror|or|c goradolrop|r (lC0) 1 0ur|rg lre rerslrua| cyc|e, ovu|al|or gerera||y occurs al Wr|cr ol lre lo||oW|rg? a Z days aller lre |asl day ol rerslrual|or o 1 days aller lre |asl day ol rerslrua| cyc|e c Z days oelore lre erd ol rerslrual|or d 1 days oelore lre erd ol lre rerslrua| cyc|e 5 wr|cr ol lre lo||oW|rg suoslarces |s reasured |r lre ralerra| serur Wrer a reura| luoe delecl |s suspecled? a Eslroger o Progeslerore c A|pra-leloprole|r (AP) d Lule|r|z|rg rorrore (Ll) 8y Wr|cr ol lre lo||oW|rg does lre p|acerla lrarsporl rulr|erls ard oxyger lo lre lelus? a Capac|lal|or o 0|llus|or c erl|||zal|or d &slu|al|or Z Ar expeclarl rolrer |r lre prerala| c||r|c as|s lre rurse,' Wrer car l expecl lo lee| ry oaoy rove? Wr|cr ol lre lo||oW|rg Wou|d oe lre rurse oesl resporse? a Al aooul 2 rorlrs o Al aooul 3 rorlrs c Al aooul 1 rorlrs d Al aooul 5 rorlrs 8 lrlroducl|or ol rad|opaque raler|a| |rlo lre ulerus ard la||op|ar luoes lo assess luoa| palercy |s |roWr as Wr|cr ol lre lo||oW|rg? a 3p|rroar|e|l lesl o lysleroscopy c err|rg lesl d lyslerosa|p|rgograpry 9 wrer rev|eW|rg corlracepl|ve relrods oelore leacr|rg a c|ass, lre rurse Wou|d |eep |r r|rd Wr|cr ol lre lo||oW|rg relrods rosl|y Wou|d oe lre |easl ellecl|ve lor rosl coup|e? a Cerv|ca| cap o Co|lus |rlerruplus c 3uoderra| |rp|arl d Cordor ard loar Z0 A c||erl Wro |s us|rg a d|aprragr lor corlracepl|or ard Wro |s currerl|y parl|c|pal|rg |r We|grl |oss prograr as|s lre rurse aooul lre reed lo rel|l lre d|aprragr Tre rurse srou|d |rslrucl lre c||erl lo rave lre d|aprragr rel|lled aller a We|grl |oss ol al |easl Wr|cr ol lre lo||oW|rg arourls? a 2 lo 22 |os o 5 lo 25 |os c 21 lo 30 |os d 25 lo 10 |os Z wr|cr ol lre lo||oW|rg approacres lo cr||do|rlr educal|or advocales s|oW orealr|rg, deep re|axal|or, ard a persor lo acl as coacr? a 0|c|-Read relrod o 'NeW cr||do|rlr relrod c 8rad|ey relrod d Laraze relrod Z2 "u|c|er|rg |r pr|r|grav|das usua||y car oe delecled dur|rg Wr|cr ol lre lo||oW|rg Wee|s ol geslal|or?
a 0 lo 1 Wee|s o 5 lo Z Wee|s c 8 lo 20 Wee|s d 20 lo 22 Wee|s Z3 A c||erl LVP oegar u|y 5 ler E00 srou|d oe Wr|cr ol lre lo||oW|rg ? a aruary 2 o Varcr 28 c Apr|| 2 0 0clooer 2 Z1 wr|cr ol lre lo||oW|rg lurda| re|grls |rd|cales |ess lrar 2 Wee|'s geslal|or Wrer lre dale ol lre LVP |s ur|roWr? a &lerus |r lre pe|v|s o &lerus al lre x|pro|d c &lerus |r lre aodorer d &lerus al lre uro|||cus Z5 wr|cr ol lre lo||oW|rg darger s|grs srou|d oe reporled prorpl|y dur|rg lre arleparlur per|od? a Corsl|pal|or o 8reasl lerderress c Nasa| slull|ress d Lea||rg arr|ol|c l|u|d Z wr|cr ol lre lo||oW|rg prerala| |aooralory lesl va|ues Wou|d oe rurse cors|der as s|gr|l|carl? a lerralocr|l 335 o Ruoe||a l|ler |ess lral :8 c Wr|le o|ood ce||s, 8,000/rr3 d ore rour g|ucose cra||erge lesl 0 g/d|
ZZ wr|cr ol lre lo||oW|rg laclors allecl|rg |aoor |s assoc|aled W|lr lre passageWay? a 3|ze ol lre lela| read ard |ls ao|||ly lo ro|d lo lre ralerra| pe|v|s o Tre preserlal|or ol lre lelus |r re|al|or lo lre ralerra| pe|v|s c Tre slruclure ol lre ralerra| pe|v|s (eg, gyreco|d versus ardro|d) d Tre lrequercy, dural|or, ard slrerglr ol uler|re corlracl|ors Z8 wr|cr ol lre lo||oW|rg |s ar esserl|a| |rlraparlur lela| assessrerl? a 0elerr|ral|or ol lre dural|or, lrequercy, ard |rlers|ly ol lre corlracl|ors o lrspecl|or ol lre ralerra| aodorer lo delerr|re lela| ||e c Exar|ral|or ol lre vag|ra lo assess cerv|ca| d||al|or ard ellacererl d Eva|ual|or ol lre rolrer lo delerr|re |roW|edge aooul cr||do|rlr educal|or Z9 wr|cr ol lre lo||oW|rg craracler|sl|cs ol corlracl|ors Wou|d lre rurse expecl lo l|rd |r a c||erl exper|erc|rg lrue |aoor? a 0ccurr|rg al |rregu|ar |rlerva|s o 3larl|rg ra|r|y |r lre aodorer c 0radua||y |rcreas|rg |rlerva|s d lrcreas|rg |rlers|ly W|lr Wa|||rg 80 0ur|rg Wr|cr ol lre lo||oW|rg slages ol |aoor Wou|d lre rurse assess 'croWr|rg? a |rsl slage o 3ecord slage c Tr|rd slage d ourlr slage 8 8aro|lurales are usua||y rol g|ver lor pa|r re||el dur|rg acl|ve |aoor lor Wr|cr ol lre lo||oW|rg reasors? a Tre reorala| ellecls |rc|ude rypolor|a, rypolrerr|a, gerera||zed droWs|ress, ard re|uclarce lo leed lor lre l|rsl leW days o Trese drugs read||y cross lre p|acerla oarr|er, caus|rg depress|ve ellecls |r reWoorr 2 lo 3 rours aller |rlraruscu|ar |rjecl|or c Trey rap|d|y lrarsler across lre p|acerla ard |ac| ol ar arlagor|sl ra|e gerera||y |rappropr|ale dur|rg |aoor d Adverse reacl|ors ray |rc|ude ralerra| rypolers|or, a||erg|c or lox|c reacl|or parl|a| or lola| resp|ralory la||ure 82 8elore adv|s|rg a 21 years o|d c||erl des|r|rg ora| corlracepl|ves lor lar||y p|arr|rg, lre rurse Wou|d assess lre c||erl lor s|grs ard syrplors ol Wr|cr ol lre lo||oW|rg? a Arer|a o lPN c dysrerorrrea| d acre vu|gar|s 83 wr|cr ol lre lo||oW|rg |rslrucl|ors aooul acl|v|l|es dur|rg rerslrual|or Wou|d lre rurse |rc|ude Wrer course||rg ar ado|escerl Wro ras jusl oegur lo rerslruale? a la|e a r||d ara|ges|c lor lre pa|r o avo|d co|d loods |l pa|r pers|sls c slop exerc|se Wr||e rerslrual|rg d avo|d sexua| |rlercourse dur|rg rerslrual|or 81 wr||e d|scuss|rg reproducl|ve rea|lr W|lr a group ol lera|e ado|escerls, ore ol lre ado|escerls as|s lre rurse, 'wrere |s lre ovur lerl|||zed? Tre rurse respords oy slal|rg lral lerl|||zal|or rorra||y occurs al Wr|cr ol lre ll: s|les? a ulerus o vag|ra c la||op|ar luoe d cerv|x 85 wrer d|scuss|rg sexua| arousa| ard orgasr W|lr a 25 year o|d ru|||parous c||erl, Wr|cr ol lre lo||oW|rg Wou|d lre rurse |rc|ude as lre pr|rary aralor|c lera|e slruclure |rvo|ved? a vag|ra| Wa|| o c||lor|s c rors puo|s d vu|vovag|ra| g|ards 8 A ru|l|grav|d c||erl W||| oe us|rg redroxyprogeslerore acelale (0epo-Provera) as a lar||y p|arr|rg relrod Aller lre rurse |rslrucls lre c||erl aooul lr|s relrod, Wr|cr ol lre lo||oW|rg c||erl slalererl |rd|cales ellecl|ve leacr|rg? a Tr|s relrod ol lar||y p|arr|rg requ|res rorlr|y |rjecl|os o l srou|d rave ry l|rsl |rjecl|or dur|rg ry rerslrua| |rjecl|ors c 0re poss|o|e s|de ellecl |s a aoserce ol a rerslrua| cyc|e d Tr|s drug W||| oe g|ver oy suoculareous |rjecl|ors 8Z Aller course||rg a 35-year-o|d c||erl aooul oreasl se|l-exar|ral|or ard rarrograpry, lre rurse delerr|re lral lre c||erl ras urderslood lre |rslrucl|ors Wrer lre c||erl slales Wr|cr ol lre lo||oW|rg? a l srou|d rave a rarrograr every year orce l'r 10 o l srou|d scredu|e a rarrograpry exar|ral|or dur|rg ry screer|rg |s |rexpers|ve c Varrograpry screer|rg |s |rexpers|ve d Varrograpry |s ar exlrere|y pa|rlu| procedure 88 A 20 year-o|d rarr|ed c||erl W|lr a pos|l|ve pregrarcy lesls slales, ls |l rea||y lrue? l car'l oe||eve l'r go|rg lo rave a oaoy wr|cr ol lre lo||oW|rg resporses oy lre rurse Wou|d oe rosl appropr|ale al lr|s l|re? a 'wou|d you |||e sore ooo||els or lre pregrarcy exper|erce? o Yes |l |s lrue loW does lral ra|e you lee|? c You srou|d oe de||grled lral you are pregrarl d werer'l you ard your rusoard lry|rg lo rave a oaoy? 89 A reW|y d|agrosed pregrarl c||erl le||s lre rurse, 'll l'r go|rg lo rave a|| ol lrese d|scorlorls, l'r rol sure l Warl lo oe pregrarll Tre rurse |rlerprels lre c||erl's slalererl as a |rd|cal|or ol Wr|cr ol lre lo||oW|rg? a ear ol pregrarcy oulcore o Rejecl|or ol lre pregrarcy c Norra| aro|va|erce d lrao|||ly lo care lor lre reWoorr 90 A c||erl, approx|rale|y Wee|s pregrarl, ard rer rusoard |s seer |r lre arleparla| c||r|c Tre c||erl's rusoard le||s lre rurse lral re ras oeer exper|erc|rg rausea vor|l|rg ard lal|gue a|org W|lr r|s W|le Tre rurse |rlerprels lrese l|rd|rgs as suggesl|rg lral lre c||erl's rusoard |s exper|erc|rg Wr|cr ol lre lo||oW|rg? a Plya||sr o V|lle|scrrerz c Couvade syrdrore d P|ca 9 A pr|r|grav|d c||erl as|s lre rurse |l sre car corl|rue lo rave a g|ass ol W|re W|lr d|rrer dur|rg rer pregrarcy wr|cr ol lre lo||oW|rg Wou|d oe lre rurse's oesl resporse? a Tre ellecls ol a|coro| or a lelus dur|rg pregrarcy are ur|roWr o You srou|d ||r|l your corsurpl|or lo oeer ard W|re c You srou|d aosla|r lror dr|r||rg a|coro||c oeverages d You ray rave dr|r| or 2 ources ol a|coro| per day 92 wrer deve|op|rg a leacr|rg p|ar lor a c||erl Wro |s 8 Wee|s pregrarl, Wr|cr ol lre lo||oW|rg loods Wou|d lre rurse suggesl lo reel lre c||erl's reed lor |rcreased lo||c ac|d? a 3p|racr o 8araras c 3ealood d Yogurl 93 Tre rurse |rslrucls a pr|r|grav|da aooul lre |rporlarce |l sull|c|erl v|lar|r A |r rer d|el Tre rurse |roWs lral lre |rslrucl|ors rave oeer ellecl|ve Wrer lre c||erl |rd|cales lral sre srou|d |rc|ude Wr|cr ol lre lo||oW|rg |r rer d|el? a 8ullerr||| ard creese o 3lraWoerr|es ard carla|oupe c Egg yo||s ard squasr d 0rarges ard loraloes 91 wrer deve|op|rg a rea|-p|arr|rg gu|de-aooul loods r|cr |r r|ool|av|r lor a pr|r|grav|d c||erl, lre rurse Wou|d expecl lo |rslrucl lre c||erl lo |rc|ude a |easl lWo da||y serv|rgs ol Wr|cr ol lre lo||oW|rg loods? a resr lru|ls o Prures c Polaloes d Err|cred cerea|s 95 wrer perlorr|rg Leopo|d's rareuvers, Wr|cr ol lre lo||oW|rg Wou|d lre rurse as| lre c||erl lo do lo rurse opl|ra| corlorl ard accuracy? a 8realre deep|y lor r|rule o Erply rer o|adder c 0r|r| a lu|| g|ass ol Waler d L|e or rer5 |ell s|de 9 wr|cr ol lre lo||oW|rg slalererl ol lre rurse Wou|d oe rosl appropr|ale Wrer respord|rg lo a pr|r|grav|d c||erl Wro as|s, ' wral srou|d l do aooul lr|s oroWr d|sco|oral|or across ry rose ard cree|s? a Tr|s usua||y d|sappears aller de||very o ll |s a s|gr ol s||r re|arora c Tre d|sco|oral|or |s due lo d||aled cap|||ar|es d ll W||| lade |l you use a prescr|oed crear 9Z A pr|r|grav|da al 28 Wee|s geslal|or le||s lre rurse lral sre ard rer rusoard W|sr lo dr|ve lo v|s|l re|al|ves Wro ||ve severa| rurdred r||es aWay wr|cr ol lre lo||oW|rg recorrerdal|ors oy lre rurse Wou|d oe oesl? a Try lo avo|d lrave|||rg aryWrere |r lre car dur|rg your lr|rd lr|resler, o L|r|l lre l|re you sperd |r lre car lo rax|rur ol 1 lo 5 rours c Ta||rg lre lr|p |s o|ay |l you slop every lo 2 rours ard Wa|| d Avo|d Wear|rg your seal oe|l |r lre car preverl |rjury |r lre lelus 98 wr|cr ol lre lo||oW|rg recorrerdal|ors Wou|d rosl re|plu| lo suggesl lo a pr|r|grav|d c||erl 3Z Wee|s' geslal|or Wro |s corp|a|r|rg ol crarps? a Crarge pos|l|ors lrequerl|y lrrougroul day o A|lerrale|y l|ex ard exlerd lre |egs c 3lra|grler lre |ree ard pusr upWard or lre loes d L|e prore |r oed W|lr lre |egs e|evaled 99 wr|cr ol lre lo||oW|rg recorrerdal|ors Wou|d oe rosl appropr|ale preverl|ve reasure lo suggesl lo a pr|r|grav|d c||erl al 30 Wee|s geslal|or Wro |s exper|erc|rg occas|ora| rearlourr? a Eal sra||er ard rore lrequerl rea|s dur|rg lre day o Ta|e a p|rcr ol oa||rg soda W|lr Waler oelore rea|s c 0ecrease l|u|d |rla|e lo lour |asses da||y d 0r|r| severa| cups ol regu|ar lea lrrougroul lre day 00 wr|cr ol lre lo||oW|rg arourls ol o|ood |oss lo||oW|rg o|rlr, rar|s lre cr|ler|or lor descr|o|rg poslparlur rerorrrage? a Vore lrar 200r| o Vora lrar 300r| c Vora lrar 100r| d Vore lrar 500r|