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A pregnant patient at 28 weeks gestation reports feeling nauseated and vomiting after meals. What is the most appropriate action for the nurse to take?
- A. Encourage the patient to eat large meals less frequently.
- B. Recommend the patient eat smaller, more frequent meals and avoid greasy foods.
- C. Instruct the patient to rest after meals to reduce nausea.
- D. Advise the patient to avoid all foods until the nausea resolves.
Correct Answer: B
Rationale: The correct answer is B: Recommend the patient eat smaller, more frequent meals and avoid greasy foods. This is because smaller, more frequent meals can help alleviate nausea and vomiting during pregnancy by preventing the stomach from becoming too full. Greasy foods can exacerbate nausea, so avoiding them is beneficial.
A: Encouraging large meals less frequently can worsen symptoms by overwhelming the digestive system.
C: Resting after meals may not directly address the underlying cause of nausea and vomiting.
D: Avoiding all foods can lead to inadequate nutrition for both the patient and the developing fetus.
In summary, choice B is the most appropriate as it addresses the symptoms effectively and promotes better nutrition during pregnancy.
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A pregnant patient is at 30 weeks gestation and reports severe heartburn after eating. What is the nurse's most appropriate intervention?
- A. Instruct the patient to take over-the-counter antacids and lie down to relieve symptoms.
- B. Encourage the patient to eat smaller meals and avoid lying down after eating.
- C. Advise the patient to avoid spicy foods and increase protein intake.
- D. Recommend that the patient take proton pump inhibitors for relief.
Correct Answer: B
Rationale: The correct answer is B because encouraging the patient to eat smaller meals and avoid lying down after eating helps prevent stomach acid from refluxing into the esophagus, reducing heartburn. This intervention addresses the root cause of the symptoms during pregnancy. Option A is incorrect as antacids can provide temporary relief but do not prevent heartburn. Option C is incorrect as spicy foods and protein intake do not directly impact heartburn. Option D is incorrect as proton pump inhibitors are not typically recommended during pregnancy due to potential risks to the fetus.
A pregnant patient at 26 weeks gestation reports dizziness and faintness when standing. Which intervention should the nurse prioritize?
- A. Encourage the patient to drink plenty of fluids and avoid standing for long periods.
- B. Instruct the patient to rise quickly from a seated position.
- C. Encourage the patient to lie flat on her back and rest.
- D. Advise the patient to take iron supplements to prevent dizziness.
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink plenty of fluids and avoid standing for long periods. This intervention addresses the symptoms of dizziness and faintness by preventing dehydration and orthostatic hypotension common during pregnancy. Fluid intake maintains blood volume, reducing the risk of hypotension. Avoiding prolonged standing helps prevent blood pooling in the lower extremities. Choices B and C could exacerbate symptoms by causing sudden changes in blood pressure. Choice D is incorrect as iron supplements do not directly address the immediate issue of dizziness and faintness related to dehydration and orthostatic hypotension during pregnancy.
A pregnant woman in her second trimester asks the nurse about taking herbal supplements to alleviate nausea. Which of the following is the nurse's best response?
- A. It is safe to take any herbal supplement during pregnancy.
- B. Some herbal supplements may cause harm to your pregnancy, and it's best to consult your doctor.
- C. Only certain over-the-counter medications are safe, not herbal supplements.
- D. Herbal supplements are more effective than prescription medications for nausea.
Correct Answer: B
Rationale: The correct answer is B because herbal supplements can vary in safety during pregnancy. It is always recommended to consult a healthcare provider before taking any supplements, as some herbs may potentially harm the pregnancy or interact with other medications. Answer A is incorrect as not all herbal supplements are safe during pregnancy. Answer C is incorrect as some herbal supplements may be safe if recommended by a healthcare provider. Answer D is incorrect as prescription medications are often more rigorously tested and regulated for safety during pregnancy compared to herbal supplements.
The nurse is caring for a pregnant patient who is 30 weeks gestation and reports feeling faint and lightheaded. What is the most appropriate action for the nurse to take?
- A. Instruct the patient to lie on her back to improve circulation.
- B. Encourage the patient to take deep breaths and sit down immediately.
- C. Instruct the patient to stand up slowly and rest for 10 minutes.
- D. Ask the patient to eat something sweet to raise her blood sugar.
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to take deep breaths and sit down immediately. This action is appropriate because the patient is experiencing symptoms of hypotension, which can lead to decreased blood flow to the brain causing faintness and lightheadedness. By encouraging the patient to take deep breaths and sit down immediately, the nurse is helping to increase oxygen intake and improve circulation, which can alleviate the symptoms.
Explanation for why the other choices are incorrect:
A: Instructing the patient to lie on her back can actually worsen symptoms as it can lead to a decrease in blood flow to the brain.
C: Instructing the patient to stand up slowly is not appropriate as the patient is already feeling faint and lightheaded. This can increase the risk of falling and injury.
D: Asking the patient to eat something sweet may not address the underlying cause of the symptoms, which is likely related to hypotension. It is important to address the immediate
What is the priority nursing action when a postpartum person experiences a boggy uterus after delivery?
- A. perform fundal massage
- B. administer a uterotonic medication
- C. administer an analgesic
- D. administer pain medication
Correct Answer: B
Rationale: The correct answer is B: administer a uterotonic medication. This is the priority nursing action because a boggy uterus indicates uterine atony, which can lead to postpartum hemorrhage. Uterotonic medications help the uterus contract and reduce bleeding. Performing fundal massage (A) can be done after administering the medication to aid in uterine contraction. Administering an analgesic (C) or pain medication (D) is not the priority as the main concern is preventing excessive bleeding.