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What does the nurse explain as the most likely cause of this symptom?
- A. Supine hypotension syndrome
- B. Gestational diabetes
- C. Pregnancy-induced hypertension
- D. Malnutrition
Correct Answer: A
Rationale: Supine hypotension syndrome occurs when lying on the back, causing dizziness due to aortocaval compression.
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What dietary adjustments could the nurse recommend?
- A. Increase intake of organ meats.
- B. Eat more green leafy vegetables.
- C. Choose more fresh fruits, particularly citrus fruits.
- D. Include molasses and whole-grain breads in the diet.
Correct Answer: B
Rationale: Green leafy vegetables are a good source of calcium for women who do not like milk.
The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?
- A. Goes fishing every afternoon.
- B. Has revised his financial plan.
- C. Spends leisure time with his friends.
- D. Traded his sports car for a sedan.
- E. Helped select a crib.
Correct Answer: B,D,E
Rationale: Active planning, such as revising finances, trading cars, and selecting a crib, indicates the acceptance stage.
What is the most appropriate nursing intervention?
- A. Provide the rubella vaccine as ordered by the physician immediately.
- B. Inform the woman she should receive the vaccine in the hospital after delivery.
- C. Hold all immunizations until 1 month postpartum.
- D. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.
Correct Answer: B
Rationale: The rubella vaccine is contraindicated during pregnancy and should be given post-delivery.
How does the need for prenatal care and counseling for adolescents differ from other age populations?
- A. A pregnant adolescent is experiencing two major life transitions at the same time.
- B. Adolescents who get pregnant are more likely to have other chronic health problems.
- C. Adolescents are at greater risk for multifetal pregnancies.
- D. At this age, a pregnant adolescent will accept the nurse's advice.
Correct Answer: A
Rationale: The pregnant adolescent must cope with adolescence and parenthood simultaneously.
What recommendations would the nurse offer to alleviate this symptom?
- A. Eat three well-balanced meals per day and limit snacks.
- B. Drink a full glass of fluid at the beginning of each meal.
- C. Have crackers handy at the bedside, and eat a few before getting out of bed.
- D. Eat a bland diet and avoid concentrated sweets.
Correct Answer: C
Rationale: Eating dry toast or crackers before getting out of bed can alleviate nausea during pregnancy.