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Unformatted text preview: MATERNAL AND CHILD HEALTH NURSING Although generally most women are pleased to be pregnant, the physiologic changes that accompany pregnancy tend to cause discomforts. Providing emphatic and sound advice about measures to relieve these discomforts helps promote overall health and well-being of the mother. Nurse Tiny is a nurse working in the OB-Gyne Ward of Tarlac Provincial Hospital which caters to both pregnant women and those that has given birth. 1. As the uterus puts pressure on the veins returning blood from the lower extremities, these veins become engorged, inflamed and painful, resulting in what is known as varicosities. These are tortuous leg veins common in pregnancy. Rylai, a pregnant woman, comes to Nurse Tiny complaining of painful varicose veins. With regards the management of varicose veins, all of the following statements are correct except for one: a. “Put on your elastic support stockings before you get out of bed upon awakening.” b. “Do not sit with your legs crossed or with your knees bent.” c. “Raise your legs against the wall for at least 2-5 minutes twice a day.” d. “Take a walk at least twice a day if the woman’s activities or work involve prolonged sitting or standing.” RATIONALE: C. Raising the legs should be done for 15-20 minutes twice a day for it to be effective. Elastic support stockings should be don upon awakening. Once she is on her feet, the pooling of blood will already begin, so it is most effective to put them on before standing up and getting out of bed. Taking a walk break at least twice a day, as well as avoiding crossing the legs or bending the knees while sitting, helps in alleviating varicosities. (pp. 281-282, Maternal and Child Health Nursing by Pillitteri, 5 th edition, 2007) 2. Mrs. Rylai also mentions that she feels a bounding palpitation of her heart, usually when she is changing positions or turning in bed. She says that she often gets frightened by this feeling, and she thinks that something bad might happen when she feels her heart that way. What question would be least appropriate to ask by Nurse Tiny to ensure the patient’s well being? a. “How often do these palpitations occur in a day?” b. “How long does each episode of palpitation occur?” c. “Have you been taking your prescribed folic acid supplements?” d. “Do you feel pain when you feel your heart palpitating?” RATIONALE: C. Palpitations of the heart are not uncommon during pregnancy, particularly on quick or sudden motion, such as turning in bed. You can caution the women not to feel frightened if palpitations do occur because they are normal. If palpitations occur very frequently or continuously or are accompanied by pain, then they become a concern....
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- Spring '12
- Obstetrics, Child Health Nursing, Pillitteri