Advanced Maternal Age Monitoring

Advanced Maternal Age Monitoring Related

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A pregnant patient is at 24 weeks gestation and reports feeling nauseous after eating. What is the most appropriate recommendation for the nurse to make?

  • A. Instruct the patient to take over-the-counter anti-nausea medications.
  • B. Encourage the patient to eat smaller, more frequent meals and avoid greasy foods.
  • C. Recommend the patient rest in bed to alleviate symptoms.
  • D. Advise the patient to reduce fluid intake to prevent nausea.
Correct Answer: B

Rationale: The correct answer is B: Encourage the patient to eat smaller, more frequent meals and avoid greasy foods. This recommendation helps manage nausea during pregnancy by preventing the stomach from becoming too full, which can exacerbate symptoms. Eating smaller, more frequent meals helps maintain stable blood sugar levels and prevents hunger, which can trigger nausea. Avoiding greasy foods reduces the likelihood of indigestion and discomfort.

Explanation of why the other choices are incorrect:
A: Instructing the patient to take over-the-counter anti-nausea medications may not be suitable during pregnancy without consulting a healthcare provider due to potential risks to the fetus.
C: Recommending the patient to rest in bed may provide temporary relief but does not address the underlying cause of nausea and may not be practical for managing symptoms throughout the day.
D: Advising the patient to reduce fluid intake may lead to dehydration, which is particularly concerning during pregnancy. Adequate hydration is important for both the mother and the developing fetus.

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A client is in the 10th week of her pregnancy. Which of the following symptoms would the nurse expect the client to exhibit? Select all that apply.

  • A. Backache.
  • B. Urinary frequency.
  • C. Dyspnea on exertion.
  • D. Fatigue.
Correct Answer: A

Rationale: Backache, urinary frequency, and fatigue are common symptoms during the first trimester. Dyspnea on exertion is more common later in pregnancy.

A client who was seen in the prenatal clinic at 20 weeks’ gestation weighed 128 lb at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks’ gestation?

  • A. 129 to 130 lb.
  • B. 131 to 132 lb.
  • C. 133 to 134 lb.
  • D. 135 to 136 lb.
Correct Answer: C

Rationale: A weight gain of 1 lb per week is expected during the second and third trimesters. Therefore, the client should gain approximately 4 lb between 20 and 24 weeks.

The nurse is providing prenatal education to a pregnant patient about the signs of labor. Which of the following symptoms should the nurse instruct the patient to report immediately?

  • A. Feeling pressure in the lower abdomen
  • B. A bloody show or the loss of the mucous plug
  • C. Regular contractions every 5 minutes for 1 hour
  • D. A sudden increase in fetal movements
Correct Answer: C

Rationale: The correct answer is C: Regular contractions every 5 minutes for 1 hour. This is a sign of active labor and indicates that the patient should seek immediate medical attention. Contractions at this frequency and duration suggest that labor is progressing and the patient should go to the hospital. Choices A, B, and D are not indicative of active labor and do not require immediate medical attention. Feeling pressure in the lower abdomen may be a normal part of pregnancy. A bloody show or loss of the mucous plug can be early signs of labor but do not require immediate attention unless accompanied by other symptoms. A sudden increase in fetal movements is generally considered a positive sign of fetal well-being.

Which foods equal 1 ounce serving size from the grain group? Select all that apply.

  • A. 1 bagel
  • B. 1 slice of bread
  • C. 1 cup cooked pasta
  • D. 1 tortilla
Correct Answer: B

Rationale: 1 slice of bread and 1 tortilla each equal 1 ounce serving size. A bagel and 1 cup cooked pasta exceed this size.

A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?

  • A. Folic acid helps prevent birth defects in the baby's brain and spine.
  • B. I should start taking folic acid before I become pregnant to ensure its benefits.
  • C. I can stop taking folic acid after the first trimester because the baby's development is complete.
  • D. Folic acid should be taken daily throughout the pregnancy to reduce the risk of birth defects.
Correct Answer: C

Rationale: Rationale:

C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.

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