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The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?
- A. Prenatal vitamins will help ensure my baby is getting the nutrients it needs.
- B. I will take prenatal vitamins every day as prescribed by my doctor.
- C. I will stop taking prenatal vitamins if I feel nauseous.
- D. Prenatal vitamins should be taken throughout the entire pregnancy.
Correct Answer: C
Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.
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The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for?
- A. Intestinal problems
- B. Neonatal conjunctivitis
- C. Blindness
- D. Pneumonia
Correct Answer: B
Rationale: Step 1: The patient tested negative for chlamydia, syphilis, gonorrhea, and HIV, reducing the risk of transmission of these infections to the baby.
Step 2: Neonatal conjunctivitis is commonly caused by exposure to maternal genital tract bacteria during birth.
Step 3: Since the patient tested negative for the common infections, neonatal conjunctivitis becomes the higher risk for the baby.
Summary: A, C, and D are not directly related to the information provided, making them incorrect choices. Neonatal conjunctivitis is the most likely risk due to maternal genital tract bacteria exposure during birth.
What alternative vitamin C source should the nurse suggest?
- A. Barley and brown rice
- B. Strawberries and potatoes
- C. Buckwheat and lentils
- D. Wheat flour and figs
Correct Answer: B
Rationale: Strawberries and potatoes are excellent sources of vitamin C, providing alternatives to citrus fruits.
What is the total number of chromosomes contained in a mature sperm or ovum?
- A. 22
- B. 23
- C. 44
- D. 46
Correct Answer: B
Rationale: Gametes (sex chromosomes) contain 23 chromosomes.
A pregnant patient at 34 weeks gestation is experiencing heartburn. Which of the following is the nurse's most appropriate recommendation?
- A. Take antacids regularly to manage heartburn.
- B. Lie down immediately after meals to aid digestion.
- C. Eat small, frequent meals and avoid spicy or greasy foods.
- D. Avoid drinking fluids during meals to prevent heartburn.
Correct Answer: C
Rationale: Rationale: Option C is the most appropriate recommendation because eating small, frequent meals and avoiding spicy or greasy foods can help reduce heartburn during pregnancy. Large meals can exacerbate heartburn, so smaller meals are easier to digest. Spicy and greasy foods can also trigger heartburn. Options A, B, and D are not recommended for managing heartburn during pregnancy. Taking antacids regularly can lead to potential risks for the developing fetus. Lying down immediately after meals can worsen heartburn due to increased intra-abdominal pressure, and avoiding fluids during meals may not necessarily prevent heartburn.
A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.
- A. Pap smear.
- B. Mammogram.
- C. Glucose challenge test.
- D. Biophysical profile.
Correct Answer: A
Rationale: A Pap smear and complete blood count are standard assessments during the first prenatal visit. A mammogram, glucose challenge test, and biophysical profile are not typically performed at this stage.