Suggested Answers to Discussion Topics, Chapter 7, Prenatal Care
Suggested Answers to Discussion Topics
Learning
Objective(s)
1.
A.
B.
1, 3, 11
Students’ answers should include the following:

Lack of money and transportation.

Communication difficulties.

Concerns regarding modesty and gender of health
provider.

Fear of invasive procedures.

Cultural nutritional habits and herbal remedies.

May view pregnancy problems as normal part of
practice.

Health provider may misinterpret cultural behavior as
uncaring or ignorant.

May view pregnancy as healthy, whereas providers may
imply illness.
Students’ answers should include the following:

Needs to be knowledgeable about practices and customs
within the community. But, remember, one cannot know
everything about a culture and subcultures, so one’s
patient is a good provider of information.

Support and nurture cultural beliefs and practices that
promote physical and emotional well-being.

If certain practices pose any significant or harmful
effects, be sensitive in providing education, and propose
modifications as needed with the patient.
2.
A.
3, 6, 11
Students’ answers should include the following:

To establish a therapeutic relationship with the woman
and her family.

Gathers baseline data related to the subjective
information provided by the patient, and objective data
related to the woman’s affect, posture, skin color, and
other physical and emotional signs.

Gives a clear understanding of the patient’s past
obstetrical history regarding any complicationsissues
B.
C.
3.
A.
B.
with previous pregnancy, family and medical history
(including genetic conditions), and social history.

Obtaining this initial history will help the nurse and
practitioner in planning and implementing appropriate
care, especially for those patients who may be at risk
during their pregnancy.
Student’s answer should include the following:

February 12, 2010 (add seven days to the first day of
LMP, then subtract three months)
Students’ answers should include the following:

Proper body mechanics.

Use safety features on products to prevent accidental
injuries (helmets, seat belts, head rests, goggles, etc.).

Avoid physical activities requiring coordination,
balance, and concentration.

Dental health.

Rest and relaxation.

Comfortable clothing and fabrics.

Employment hazards (chair for good back support,
adequate ventilation, not standing for long periods of
time, etc.).

Immunizations (no live viruses).

Substance and alcohol intake, including cigarette
smoking.
Students’ answers should include the following:

As the NST was nonreactive in the office, the
contraction stress test can determine how the fetus will
react to the stress of a uterine contraction, as it would
during labor.

Uterine contractions decrease perfusion through the
placenta, leading to fetal hypoxia.

Explain to the patient what negative, equivocal, and
positive results indicate.

Late decelerations during this test can be interpreted as
an early warning sign of fetal compromise, warranting
possible delivery of fetus.
Students’ answers should include the following:

Assess the patient’s vital signs and general health status
and any contraindications for the test.

Attach external electronic fetal monitoring device to
assess fetal heart rate and uterine activity.

Assist patient in a comfortable position (usually lateral).
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