Nokea
The nurse is providing education to a pregnant patient about diet during pregnancy. Which of the following statements indicates that the patient needs further teaching?
- A. I should increase my intake of fruits, vegetables, and whole grains.
- B. I need to limit my intake of high-fat and high-sugar foods.
- C. I can eat whatever I want as long as I am gaining weight steadily.
- D. I should drink plenty of water and stay hydrated throughout the day.
Correct Answer: C
Rationale: The correct answer is C because the statement "I can eat whatever I want as long as I am gaining weight steadily" indicates a misunderstanding of healthy eating during pregnancy. The rationale is that pregnancy is a crucial time for proper nutrition, and simply focusing on weight gain without considering the quality of food can lead to health risks for both the mother and the baby. Choices A, B, and D are all correct statements that promote a healthy diet during pregnancy by emphasizing the importance of nutrient-dense foods, limiting unhealthy choices, and staying hydrated.
You may also like to solve these questions
A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control? Select all that apply.
- A. Take a daily multivitamin.
- B. See a medical doctor.
- C. Drink beer instead of vodka.
- D. Stop all over-the-counter medications.
Correct Answer: B
Rationale: Taking a multivitamin, consulting a doctor, and stopping potentially harmful medications are important preconception steps. Alcohol consumption should generally be minimized, but switching from vodka to beer is not a significant improvement.
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?
- A. Hemophilia
- B. Sickle cell anemia
- C. A neural tube defect
- D. Abnormal lecithin-to-sphingomyelin ratio
Correct Answer: C
Rationale: An open neural tube allows a high level of AFP to seep into the amniotic fluid and enter maternal serum, indicating a neural tube defect.
A nurse is preparing a laboring person for an epidural. What is the most important nursing action before the procedure?
- A. ensure informed consent is signed
- B. administer pain medication
- C. administer IV fluids
- D. administer an analgesic
Correct Answer: A
Rationale: The correct answer is A: ensure informed consent is signed. Before any procedure, obtaining informed consent is essential to ensure the laboring person understands the risks, benefits, and alternatives of the epidural. This helps promote autonomy and respect for the individual's decision-making. Administering pain medication (choice B), IV fluids (choice C), or an analgesic (choice D) without informed consent is not ethical and violates the principle of autonomy. The focus should be on providing comprehensive information and obtaining consent before proceeding with the intervention.
The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?
- A. Hemophilia
- B. Sickle cell anemia
- C. A neural tube defect
- D. Abnormal lecithin-to-sphingomyelin ratio
Correct Answer: C
Rationale: An open neural tube allows a high level of AFP to seep into the amniotic fluid and enter maternal serum, indicating a neural tube defect.
A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports difficulty breathing, especially when lying flat. Which action should the nurse take first?
- A. Assess the patient's respiratory rate and oxygen saturation.
- B. Encourage the patient to rest and limit physical activity.
- C. Administer oxygen and prepare the patient for delivery.
- D. Ask the patient to lie on her left side and monitor for improvement.
Correct Answer: A
Rationale: Step 1: Assessing the patient's respiratory rate and oxygen saturation is essential to determine the severity of the breathing difficulty.
Step 2: It helps in identifying potential respiratory issues or complications that may require immediate intervention.
Step 3: This data will guide the nurse in making informed decisions regarding further management and treatment.
Step 4: Encouraging rest (B) may be appropriate after assessment. Administering oxygen and preparing for delivery (C) is premature without assessment. Asking the patient to lie on her left side (D) without initial assessment may delay necessary interventions.