Nokea
A patient at 8 weeks' gestation complains to the nurse, 'I feel sick almost every morning. And I throw up at least two or three times a week.' What is the nurse's best guidance for this patient?
- A. Do you like cheese?'
- B. Try eating four meals a day instead of three meals a day.'
- C. Try eating peanut butter on whole wheat bread right before going to bed.'
- D. If you can eat enough throughout the day, you don't have to worry about being sick.'
Correct Answer: C
Rationale: The correct answer is C: 'Try eating peanut butter on whole wheat bread right before going to bed.' This recommendation is based on the fact that consuming a small snack high in protein and complex carbohydrates before going to bed can help stabilize blood sugar levels and reduce morning sickness symptoms in pregnant women. Peanut butter provides protein and whole wheat bread provides complex carbohydrates, which can help alleviate nausea and vomiting.
Choice A is incorrect because asking about cheese does not address the patient's symptoms or provide any practical guidance for managing morning sickness.
Choice B is incorrect because increasing the number of meals may not necessarily alleviate morning sickness and could potentially exacerbate symptoms.
Choice D is incorrect because suggesting that eating enough throughout the day will prevent sickness oversimplifies the issue and does not offer targeted advice for managing morning sickness.
You may also like to solve these questions
To determine cultural influences on a patient's diet, what is the nurse's primary action?
- A. Evaluate the patient's weight gain during pregnancy.
- B. Assess the socioeconomic status of the patient.
- C. Discuss the four food groups with the patient.
- D. Identify the food preferences and methods of food preparation common to the patient's culture.
Correct Answer: D
Rationale: The correct answer is D because identifying the food preferences and methods of food preparation common to the patient's culture is crucial in understanding cultural influences on their diet. This step helps the nurse tailor dietary recommendations that align with the patient's cultural background and preferences, promoting better adherence and health outcomes.
Option A is incorrect as weight gain during pregnancy is not directly related to cultural influences on diet. Option B, assessing socioeconomic status, is important but not the primary action for understanding cultural influences on diet. Option C, discussing the four food groups, is too generic and does not specifically address cultural influences on diet.
Which clinical finding is associated with inadequate maternal weight gain during pregnancy?
- A. Prolonged labor
- B. Preeclampsia
- C. Gestational diabetes
- D. Low-birth-weight infant
Correct Answer: D
Rationale: The correct answer is D: Low-birth-weight infant. Inadequate maternal weight gain during pregnancy is associated with an increased risk of delivering a low-birth-weight infant due to insufficient fetal growth and development. When a mother does not gain enough weight during pregnancy, it can result in the baby being born smaller than expected, which can lead to various health issues. Prolonged labor (choice A) is not directly linked to inadequate weight gain. Preeclampsia (choice B) and gestational diabetes (choice C) are more commonly associated with excessive weight gain or other factors. Therefore, the correct choice is D as it directly correlates with inadequate maternal weight gain.
A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium?
- A. Add foods such as nuts, dried fruit, and broccoli to the diet.
- B. Consume dairy products but take an over-the-counter anti-gas product.
- C. Increase the intake of dark leafy vegetables, such as spinach and chard.
- D. Use powdered milk instead of liquid forms of milk.
Correct Answer: A
Rationale: The correct answer is A: Add foods such as nuts, dried fruit, and broccoli to the diet. This recommendation is best because these foods are good sources of calcium and are also lactose-free, which is important for a pregnant patient with lactose intolerance. Nuts and dried fruits are rich in calcium, while broccoli is a good vegetable source of calcium.
Choice B is incorrect because consuming dairy products can exacerbate symptoms of lactose intolerance, even with an anti-gas product. Choice C is incorrect because while dark leafy vegetables are good sources of calcium, they may not provide enough for a pregnant patient's needs. Choice D is incorrect because powdered milk still contains lactose and may not be well-tolerated by someone with lactose intolerance.
When explaining the recommended weight gain to your patient, the nurse's teaching should include which statement?
- A. All pregnant women need to gain a minimum of 25 to 35 lb.'
- B. The fetus, amniotic fluid, and placenta require 15 lb of weight gain.'
- C. Weight gain in pregnancy is based on the patient's prepregnant body mass index.'
- D. More weight should be gained in the first and second trimesters and less in the third.'
Correct Answer: C
Rationale: The correct answer is C because weight gain in pregnancy should be individualized based on the patient's prepregnant body mass index (BMI). This is important as it takes into consideration the patient's starting weight and helps to determine a healthy range of weight gain to support both maternal and fetal health. This approach is evidence-based and helps to prevent complications such as gestational diabetes and preeclampsia.
Explanation for why the other choices are incorrect:
A: This statement is incorrect because not all pregnant women need to gain the same amount of weight. Weight gain recommendations vary based on the patient's BMI.
B: This statement is incorrect as it provides a specific number for weight gain, which may not be accurate for all pregnant women. Weight gain should be individualized based on BMI.
D: This statement is incorrect because weight gain recommendations are distributed evenly across the trimesters, not necessarily more in the first and second trimesters and less in the third.
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?
- A. Between the time the temperature falls and rises
- B. Between 36 and 48 hours after the temperature rises
- C. When the temperature falls and remains low for 36 hours
- D. Within 72 hours before the temperature falls
Correct Answer: A
Rationale: In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary produces progesterone. Therefore, intercourse between the time of the temperature fall and rise (A) is the best time for conception.