Needs of Maternal and Reproductive Health Clients

Needs of Maternal and Reproductive Health Clients Related

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A pregnant patient would like to know which foods, other than dairy products, contain the most calcium. Which food group would the nurse recommend?

  • A. Legumes
  • B. Lean meat
  • C. Whole grains
  • D. Yellow vegetables
Correct Answer: A

Rationale: The correct answer is A: Legumes. Legumes such as chickpeas, lentils, and beans are rich sources of calcium. They provide a plant-based alternative for calcium intake. Legumes are also high in fiber, protein, and other essential nutrients beneficial for pregnancy. Lean meat (B) and yellow vegetables (D) are not significant sources of calcium. While whole grains (C) offer some calcium, they are not as high in calcium content as legumes. Therefore, for a pregnant patient looking to increase calcium intake without relying on dairy products, legumes are the most recommended food group.

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The nurse is assessing a patient's use of complementary and alternative therapies. Which should the nurse document as an alternative or complementary therapy practice?

  • A. Practicing yoga daily
  • B. Drinking green tea in the morning
  • C. Taking omeprazole (Prilosec) once a day
  • D. Using aromatherapy during a relaxing bath
Correct Answer: C

Rationale: Yoga, green tea, and aromatherapy are examples of complementary and alternative therapies.

A hospital has achieved Magnet status. Which indicators would be consistent with this type of certification?

  • A. There is stratification of communication in a directed manner between nursing staff and administration.
  • B. There is increased job satisfaction of nurses, with a lower staff turnover rate.
  • C. Physicians are certified in their respective specialty areas.
  • D. All nurses have baccalaureate degrees and certification in their clinical specialty area.
Correct Answer: B

Rationale: Magnet status hospitals demonstrate higher nurse job satisfaction and lower turnover rates, along with improved quality of care.

The nurse is caring for a postpartum client who is complaining of severe pain and a feeling of pressure in her perineum. Her fundus is firm, and she has a moderate lochia flow. On inspection the nurse finds that a perineal hematoma is beginning to form. Which assessment findings show the nurse obtain first?

  • A. Abdominal contour and bowel sounds
  • B. Hemoglobin and hematocrit
  • C. Heart rate and blood pressure
  • D. Urinary output and IV fluid intake
Correct Answer: C

Rationale: Hematomas can cause significant blood loss, so assessing heart rate and blood pressure (C) is critical.

Which nursing intervention is an independent function of the professional nurse?

  • A. Administering oral analgesics
  • B. Requesting diagnostic studies
  • C. Teaching the patient perineal care
  • D. Providing wound care to a surgical incision
Correct Answer: C

Rationale: Teaching is an independent nursing function, whereas administering medications or requesting diagnostic studies are dependent functions requiring physician orders.

In order to increase the absorption of iron by a pregnant patient, which beverage should an iron preparation be given with?

  • A. Tea
  • B. Milk
  • C. Coffee
  • D. Orange juice
Correct Answer: D

Rationale: To increase iron absorption, it should be taken with Vitamin C. Orange juice is high in Vitamin C, which enhances non-heme iron absorption. Tea and coffee contain tannins that inhibit iron absorption. Milk contains calcium, which can interfere with iron absorption. Therefore, the correct choice is D as it provides the necessary Vitamin C to improve iron absorption.

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