Nokea
When teaching a gravid client how to perform kick (fetal movement) counts which instruction should the nurse includes.
- A. Exercise for 15 before starting the counting to help increase fetal movement
- B. Count the movements once daily for one hour, before breakfast
- C. Avoid caffeinated drinks for 24 hours before conducting the kick test.
- D. If 10 kicks are not felt within 1 hr, drink orange juice and count for another hour.
Correct Answer: D
Rationale: Drinking orange juice can stimulate fetal movement if counts are low (D).
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Changes in the diet of the pregnant patient who has phenylketonuria would include
- A. adding foods high in vitamin C.
- B. eliminating drinks containing aspartame.
- C. restricting protein intake to <20 g a day.
- D. increasing caloric intake to at least 1800 cal/day.
Correct Answer: B
Rationale: The correct answer is B: eliminating drinks containing aspartame. Patients with phenylketonuria lack the enzyme to metabolize phenylalanine, found in aspartame. Avoiding aspartame-containing products is crucial to prevent phenylalanine buildup. Choice A is incorrect as vitamin C is not directly related to phenylketonuria. Choice C is incorrect as protein restriction is necessary, but the recommended intake is individualized and not a fixed amount. Choice D is incorrect as caloric intake is important, but the focus should be on managing phenylalanine levels.
A 26-week gestational primigravida who is carrying twins is seen in the clinic today. Her fundal height is measured at 29 cm. Based on these findings what actions the nurse implement.
- A. Notify the healthcare provider of the finding
- B. Document the finding in the medical record
- C. Schedule the client for a biophysical profile
- D. Request another nurse measure the fundus
Correct Answer: A
Rationale: Fundal height greater than expected may indicate a complication, so notifying the healthcare provider (A) is necessary.
A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness?
- A. Wear a cotton bra
- B. Increase nursing time gradually
- C. Correctly place the infant on the breast
- D. Manually express a small amount of milk before nursing
Correct Answer: C
Rationale: The most common cause of nipple soreness is incorrect positioning (C) of the infant on the breast, e.g., grasping too little of the areola or grasping on the nipple.
ATI Maternal Newborn
- A. Teach the patient about MyPlate.
- B. Review the patient's current dietary intake.
- C. Instruct the patient to limit the intake of fatty foods.
- D. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
Correct Answer: B
Rationale: The correct answer is B because reviewing the patient's current dietary intake provides crucial information on their nutrition status and helps identify any deficiencies or excesses. This step allows for personalized dietary recommendations tailored to the patient's specific needs.
A: Teaching about MyPlate is a general recommendation but does not address the individual patient's dietary requirements.
C: Instructing to limit fatty foods is a generic recommendation and may not be appropriate for every patient.
D: Cautioning against large doses of fat-soluble vitamins is important, but it is not the initial step in assessing the patient's overall dietary intake.
The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica?
- A. Iron-deficiency anemia
- B. Intolerance to milk products
- C. Ingestion of nonfood substances
- D. Episodes of anorexia and vomiting
Correct Answer: C
Rationale: The correct answer is C: Ingestion of nonfood substances. Pica is a condition where individuals have a persistent craving to eat items that are not considered food, such as dirt, clay, or ice. This behavior can be seen in pregnant women due to nutritional deficiencies or psychological factors. Choices A, B, and D are incorrect because they do not accurately describe pica. Iron-deficiency anemia (A) is a condition related to low iron levels in the blood, intolerance to milk products (B) is a lactose intolerance issue, and episodes of anorexia and vomiting (D) are symptoms of eating disorders, not pica.