1. How would you modify your health teachings with her?

- Tell the patient to stop smoking. Stopping smoking completely early in your pregnancy
best protects the health of you and your baby. But quitting at any time helps reduce
harm, because when she continue to smoke during pregnancy it would have a significant
impact on a woman and babies health, including; increased risk of premature births,
stillbirths, miscarriages, low birth weight, and complications after labor.

2. She asks you how big her fetus is at this point. What would be the best way to illustrate
this for her?
- At 20 weeks pregnant the baby is about 10 to 11 inches from the top of the head to the
bottom of the feet. Another way to visualize this is that your baby is around the length of
a banana. Hair is already growing on your baby’s head, and a fine, soft hair called
lanugo is beginning to cover their body.

3. The client is scheduled for an ultrasound to assess fetal growth. She states she does not
want to know her fetus’ sex if it is revealed by the test. Why do some women want to
know the sex of a fetus and some do not? Is there an advantage to knowing or not
knowing?
- For some, finding out the sex of their baby is one of the most exciting moments of
pregnancy. With the availability of blood tests and high-tech ultrasound imagining,
people are able to find out if they're carrying a boy or girl much earlier in pregnancy,
though some still wait until the standard 20-week ultrasound. Sex refers to a person’s
genital anatomy and the biological aspects of identity. Some families couldn't imagine
not finding out baby’s sex, some are adamant about keeping it a secret until birth, and
others are on the fence. Like most choices in life, there are pros and cons to knowing
and not knowing. Let's take a look.
Yes, Pros
● Your curiosity will be satisfied, no patience necessary
● Your family will no longer pester you to find out
● You can check out your child’s wardrobe according to traditional styles styles for boys or
girl's
● You can settle on one name and personalize the nursery accordingly
● You may build a stronger sense of “knowing” the child you're carrying
● You can throw a fun “pink or blue” party during your pregnancy
● If you were really hoping for a particular sex (no judgment here!), you will have time to
adjust and bond to the child you're carrying if the sex if different.
Yes, Cons
● There's always a possibility that the test is wrong
● Too much emphasis is put on the importance of the child's sex and gender role
● People will buy you way too many gender-specific baby clothes
● Your remove the surprise element of finding out at birth
No, Pros
● It's a fantastic surprise for you and everyone else!
 ● No obsessing pr assumptions about who baby who will be based on their sex or gender
role
● The fun of choosing two (or more) different names
● You have a blank slate for decorating your nursery until after birth
● No possibility of wrong ultrasound surprise at birth
● No stereotypical gender-based clothes
● Less possibility for disappointment when finding out at birth, if you were hoping for a
specific sex
● Your family, other children, or even strangers may express disappointment, which can be
hard to handle
● You may enjoy driving everyone nuts about the surprise
No, Cons
● The not knowing may drive you bonkers
● Family and friends won't leave you alone about finding out
● Your baby's first few weeks’ wardrobe will be fairly monotone
● Not being able to personalize the nursery may bug you
● You may feel like you're missing out on something
● You may feel like you don't “know” pr bond less with baby before birth (not always true,
of course)
4. Late in pregnancy, the client is scheduled for weekly nonstress test. She states she
hates to have these done because they are time consuming and boring. What are ways
you could make such tests more appealing and so increase compliance.
- A nonstress test monitors an unborn baby's heart rate for 20 to 30 minutes to see if it
changes as the fetus moves and during contractions. It is called non-stress because
doing it places no stress on the fetus. The nurse is responsible for performing the test
and interpreting the findings. The nurse’s assessment may result in reassurance about,
or additional testing of fetal well-being. Motivate and communicate with the client while
doing this test to minimize boredom and also by seeing or explaining how her baby
responds.