24 Questions
What is the nursing diagnosis related to Beth's situation?
Situational Low Self-Esteem
What is an example of a way to reduce feelings of isolation and failure to meet obligations to her family?
Keeping in close touch by telephone
What is an expected outcome for Beth during her hospitalization?
To identify ways of providing comfort and affection to her son
What is a way to involve Beth's son in the plans for the newborn?
By involving him in sibling classes or playtime
Why is it important to encourage Beth to express her concerns about hospitalization?
To clarify her major concerns
What can be a result of involving siblings in caring for newborn-sized dolls?
Increased feelings of self-worth
Why is it important to explain things in simple, non-frightening terms to Beth's son?
To reassure him
What is a handmade item that can be given to Beth's son during her hospitalization?
A small handmade bookmark
What is one of the benefits of delaying birth in a pregnancy complication?
Increasing birth weight and maturity
What is the primary goal of antepartum units in a hospital?
To consider the woman's needs for physical and occupational therapy
What is a sign of a potential complication that pregnant women are instructed to report to their healthcare provider?
Decrease in fetal movement
What is a common method used in home care for fetal monitoring?
Nonstress tests with portable equipment
What is a consideration for making a medical decision on home care versus inpatient care?
General criteria for home care
What is the purpose of providing reassuring information to parents about the fetal condition?
To reduce anxiety and promote a positive outlook
What is a benefit of administering corticosteroids to the mother?
Speeding maturation of the fetal lungs
What is a consideration for conservative management of pregnancy complications?
Home care versus inpatient care
What is a criterion for a woman with placenta previa to receive home care?
Home is located within a short distance from the hospital
Why is periodic electronic fetal monitoring necessary for women with placenta previa?
To detect fetal heart activity changes associated with fetal compromise
What should the nurse report immediately to the physician?
A significant change in fetal heart activity, an episode of vaginal bleeding, or signs of preterm labor
What is the primary focus of nursing assessments for women with placenta previa in the hospital?
Determining whether the woman is experiencing bleeding episodes
What is the goal of conservative management for women with placenta previa?
To achieve greater fetal maturity
Why may a woman with placenta previa be admitted to the hospital?
If she does not meet the criteria for home care
What is a key aspect of helping the woman and family develop a plan for home care?
Helping the woman understand the physician's plan of care
What is a consequence of not meeting the criteria for home care?
The woman is admitted to the hospital
Study Notes
Hospitalization and Fetal Maturity
- Hospitalization provides time for the fetus to mature, which is a positive aspect of the situation.
- Delaying birth may increase birth weight and maturity, and administration of corticosteroids to the mother speeds up maturation of the fetal lungs if needed.
- Antepartum units consider the woman's needs for physical and occupational therapy and diversion.
Home Care vs. Inpatient Care
- Home care is possible if there is no evidence of active bleeding, the home is close to the hospital, emergency systems are available, and the woman understands the risks associated with placenta previa.
- Inpatient care is necessary if the woman does not meet the criteria for home care or requires additional care to achieve greater fetal maturity.
Nursing Considerations
- Nurses help the woman and family understand the physician's plan of care and develop a workable plan for home care.
- Inpatient care involves frequent assessments to determine whether the woman experiences bleeding episodes or signs of preterm labor.
- Periodic electronic fetal monitoring is necessary to determine fetal heart activity changes.
Promoting Self-Esteem and Family Involvement
- Involving Beth in caring for her son during hospitalization helps reduce feelings of isolation and failure to meet family obligations.
- Examples of involvement include keeping in close touch by telephone, making handmade items, explaining why she needs to stay in the hospital, and offering reassurances of continued love.
- Involving siblings provides goals for combined family interaction that increases feelings of self-worth.
This quiz covers the importance of maternal care and rest for fetal development, highlighting the benefits of hospitalization for the baby's health and the mother's role.
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