Nokea
Which of the following clinical findings should the nurse instruct the client to report?
- A. Increased fetal movement.
- B. Increased urinary output.
- C. Increased muscle weakness.
- D. Increased respiratory rate.
Correct Answer: C
Rationale: Increased muscle weakness is a sign of magnesium sulfate toxicity and should be reported, as it may necessitate dose adjustment. Increased fetal movement is positive, urinary output may increase normally, and respiratory rate increase is not typical.
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Which of the following is an appropriate response by the nurse?
- A. Move your toddler to his new bed 2 months before the baby comes home.
- B. Avoid bringing your toddler to prenatal visits.
- C. Let your toddler see you carrying the baby into the home for the first time.
- D. Require scheduled interactions between the toddler and the baby.
Correct Answer: C
Rationale: Letting the toddler see the baby's arrival helps them feel involved and excited. Moving to a new bed too early may cause stress, avoiding prenatal visits excludes the toddler, and requiring scheduled interactions may create resistance.
Which of the following statements should the nurse make to the client?
- A. Swaddle your baby tightly with his legs extended before laying him down to sleep.
- B. Notify your baby's pediatrician if he urinates less than six times a day.
- C. Retract the foreskin to clean your baby's penis during each bath.
- D. Place triple antibiotic ointment on your baby's umbilical cord twice per day.
Correct Answer: B
Rationale: Notifying the pediatrician for fewer than six wet diapers daily ensures adequate hydration monitoring. Extended leg swaddling risks hip dysplasia, foreskin retraction is harmful, and antibiotic ointment is unnecessary for the cord.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I can have a mid-day snack with soft cheese.
- B. I can purchase a seafood salad from the grocery store.
- C. I can eat grilled chicken on a bun at lunchtime.
- D. I can still have a hot dog at the ballpark.
Correct Answer: C
Rationale: Grilled chicken, when properly cooked, is safe during pregnancy, unlike soft cheese, deli seafood salad, or hot dogs, which carry risks of Listeria contamination. The client's statement about grilled chicken indicates understanding of safe dietary choices to avoid listeriosis.
The nurse should recognize which of the following manifestations as an adverse reaction to the medication?
- A. Urine output 20 mL/hr.
- B. Hypertension.
- C. Hyperglycemia.
- D. Respiratory rate 16/min.
Correct Answer: A
Rationale: Urine output of 20 mL/hr indicates possible magnesium sulfate toxicity, affecting kidney function, and requires immediate attention. Hypertension is expected in preeclampsia, hyperglycemia is unrelated, and a respiratory rate of 16/min is normal.
Using Nägele's Rule, which of the following is the client's estimated date of delivery?
- A. May 20.
- B. May 3.
- C. May 13.
- D. May 17.
Correct Answer: D
Rationale: Using Nägele's Rule, subtract 3 months from August 10 (May 10) and add 7 days, resulting in May 17. Other dates result from incorrect day additions.