Nokea
A nurse is teaching a client who is at 10 weeks of gestation about nutrition during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
- A. "I should increase my protein intake to 60 grams each day."
- B. "I should drink 2 liters of water each day."
- C. "I should increase my overall daily caloric intake by 300 calories."
- D. "I should take 600 micrograms of folic acid each day."
Correct Answer: A
Rationale: The correct answer is A because protein is essential for fetal development and increasing protein intake to 60 grams per day is recommended during pregnancy for optimal growth. Adequate protein intake helps in the formation of new tissues and cells.
Choice B is incorrect because while staying hydrated is important during pregnancy, the specific amount of 2 liters per day is not a standard recommendation and may vary depending on individual needs.
Choice C is incorrect as increasing overall daily caloric intake by 300 calories is a general guideline, not specific to the client's gestational age.
Choice D is incorrect as while folic acid is crucial during pregnancy to prevent birth defects, the recommended daily intake is usually 400-800 micrograms, so 600 micrograms is within the range but not the best answer.
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Which of the following is a potential cause of female infertility?
- A. Endometriosis
- B. Polycystic ovary syndrome (PCOS)
- C. Pelvic inflammatory disease (PID)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Endometriosis can cause scarring and blockage of the fallopian tubes, hindering conception. PCOS can lead to irregular ovulation or lack of ovulation, affecting fertility. PID can cause damage to the reproductive organs, impacting fertility. Therefore, all three conditions listed can potentially contribute to female infertility. Choices A, B, and C are all incorrect because each condition individually can cause female infertility, making option D the correct choice.
A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take?
- A. Provide the newborn with 15 mL glucose water after each feeding.
- B. Turn the newborn every 4 hr.
- C. Apply hydrating lotion to the newborn’s skin prior to treatment.
- D. Close the newborn's eyes before applying eyepatches.
Correct Answer: D
Rationale: The correct answer is D: Close the newborn's eyes before applying eyepatches. To protect the newborn's eyes from potential damage due to phototherapy light, it is essential to close the eyes before placing eyepatches. This prevents exposure to the bright light, reducing the risk of eye irritation or injury. Providing glucose water (A), turning the newborn every 4 hours (B), and applying hydrating lotion (C) are not directly related to the phototherapy treatment for jaundice. Closing the eyes before applying eyepatches is crucial for the safety and comfort of the newborn during the phototherapy session.
A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?
- A. Lay the baby on his stomach to nap during the daytime.
- B. Change smoke detector batteries every other year.
- C. Use a car seat when traveling by airplane
- D. Place a plastic waterproof sheet over the crib bedding
Correct Answer: C
Rationale: Using a car seat during air travel ensures the newborn's safety during takeoff, landing, and turbulence.
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
- A. Flaccid uterus
- B. Cervical laceration
- C. Excess vaginal bleeding
- D. Increased afterbirth cramping
Correct Answer: A,C
Rationale: Oxytocin is administered postpartum to manage uterine atony (flaccid uterus) and control excessive bleeding, which are common indications for its use.
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
- A. Frequent vomiting with weight loss of 3 lb in 1 week
- B. Reports of mood swings
- C. Nosebleeds occurring approximately 3 times per week
- D. Increased vaginal discharge
Correct Answer: A
Rationale: The correct answer is A: Frequent vomiting with weight loss of 3 lb in 1 week. This finding could indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and malnutrition, posing risks to both the mother and fetus. Weight loss of 3 lb in 1 week is significant and requires immediate attention from the provider to prevent further complications.
Incorrect Choices:
B: Reports of mood swings - Mood swings are common during pregnancy due to hormonal changes and typically do not pose a direct threat to the health of the mother or fetus.
C: Nosebleeds occurring approximately 3 times per week - While nosebleeds can occur during pregnancy due to increased blood flow, they are usually not concerning unless severe or accompanied by other symptoms.
D: Increased vaginal discharge - Increased vaginal discharge is a normal pregnancy symptom caused by hormonal changes and increased blood flow to the pelvic area. It is not typically a cause for immediate concern unless it is accompanied by other