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26. A client at 20 weeks’ gestation asks the nurse midwife if she will be able to breastfeed her baby after birth. The client has a history of type 2 diabetes, which has been well-controlled before and during the pregnancy. The client has a BMI of 34. Which of the following statements by the nurse midwife is the most appropriate?
27. A 21-year-old female client comes to the prenatal clinic after a home pregnancy test indicated a positive result. The client informs the nurse midwife that her last menstrual period was on October 28, 2010. Using Nagele’s rule, the client’s expected date of birth is on:
28. A client at 30 weeks’ gestation complains of shortness of breath and an unusually rapid enlargement of the uterus. A tense uterus is noted by the nurse midwife during assessment. Palpation of the small parts of the fetus and auscultating the fetal heart rate are difficult. The nurse midwife suspects severe hydramnios. Which of the following interventions are appropriately included in the care plan?I.Encourage ambulation.II.Increase intake of foods high in fiber.III.Perform amniocentesis.IV.Administer indomethacin.
29. A contraction stress test is ordered to a client at 35 weeks’ gestation. After half an hour, the client’s uterus begins to contract and the nurse midwife observes three 40-second-long contractions in a 10-minute window. The client has two contractions within the next five minutes. The nurse midwife notes that the fetal heart rate decreases toward the end of the contraction and afterward. This happends during more than 50% of the contractions. After stopping the oxytocin, which of the following is the next action of the midwife?
30. A 20-year-old female client is pregnant for the first time. The client is a marathon runner and has been on a rigorous exercise and training program. The client asks the nurse midwife if she could still exercise while pregnant. Which of the following statements by the nurse midwife is the most appropriate for the client?
