What alternative vitamin C source should the nurse suggest?
- A. Barley and brown rice
- B. Strawberries and potatoes
- C. Buckwheat and lentils
- D. Wheat flour and figs
Correct Answer: B
Rationale: Strawberries and potatoes are excellent sources of vitamin C, providing alternatives to citrus fruits.
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A pregnant patient at 32 weeks gestation reports swelling in the feet and hands. What should the nurse do first?
- A. Monitor the patient's blood pressure and assess for signs of preeclampsia.
- B. Encourage the patient to elevate her feet and rest for 30 minutes.
- C. Recommend that the patient drink more water and reduce sodium intake.
- D. Assess the patient for signs of a blood clot or deep vein thrombosis.
Correct Answer: A
Rationale: The correct answer is A: Monitor the patient's blood pressure and assess for signs of preeclampsia. At 32 weeks gestation, swelling in the feet and hands can be a sign of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. Monitoring blood pressure is crucial as elevated blood pressure is a key indicator of preeclampsia. Assessing for other signs of preeclampsia such as headache, visual disturbances, or upper abdominal pain is important for early detection and management. Prompt intervention is necessary to prevent complications for both the mother and the baby.
Choices B, C, and D are incorrect because while elevation of feet, rest, hydration, and reducing sodium intake are important in managing mild swelling during pregnancy, in this case, the priority is to rule out preeclampsia which can lead to severe complications if left untreated. Assessing for blood clots or deep vein thrombosis is also important but
A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?
- A. Wear tight compression stockings to reduce swelling.
- B. Elevate the legs and avoid prolonged periods of standing.
- C. Massage the affected area to improve circulation.
- D. Apply ice packs to the legs for 15 minutes every hour.
Correct Answer: B
Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities.
A: Wearing tight compression stockings can further constrict blood flow and should be avoided.
C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women.
D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.
A woman is 36 weeks’ gestation. Which of the following tests will be done during her prenatal visit?
- A. Glucose challenge test.
- B. Amniotic fluid volume assessment.
- C. Vaginal and rectal cultures.
- D. Karyotype analysis.
Correct Answer: C
Rationale: Vaginal and rectal cultures are performed to check for Group B Streptococcus (GBS), which can affect the newborn. Glucose challenge tests are typically done earlier in pregnancy, and karyotype analysis is not routine.
A pregnant patient at 36 weeks gestation reports feeling more tired than usual. What is the nurse's priority action?
- A. Encourage the patient to get more rest and limit physical activity.
- B. Assess the patient for signs of anemia or other complications.
- C. Administer iron supplements to improve energy levels.
- D. Instruct the patient to increase caloric intake to meet energy demands.
Correct Answer: B
Rationale: The correct answer is B. Assess the patient for signs of anemia or other complications. At 36 weeks gestation, fatigue can be a sign of anemia, a common issue in pregnancy. Anemia can lead to complications for both the mother and the baby, so assessing for this is crucial. Encouraging rest (choice A) may help with fatigue temporarily but does not address the underlying cause. Administering iron supplements (choice C) without assessing first can be harmful if anemia is not the issue. Instructing the patient to increase caloric intake (choice D) is not the priority as it does not address the potential medical issue causing the fatigue.
The nurse’s role in diagnostic testing is to provide which of the following?
- A. Advice to the couple
- B. Information about the tests
- C. Reassurance about fetal safety
- D. Assistance with decision making
Correct Answer: B
Rationale: The nurse's role is to provide all necessary information regarding a procedure to enable the couple to make an informed decision.