Needs of Maternal and Reproductive Health Clients

Needs of Maternal and Reproductive Health Clients Related

Review Needs of Maternal and Reproductive Health Clients related questions and content

Which guidance related to a healthy diet during pregnancy will the nurse provide to a patient in her 1st trimester?

  • A. Every day you need to have at least 6 ounces of protein from sources such as meat, fish, eggs, beans, nuts, soybean products, and tofu.'
  • B. High-dose vitamin A supplements will promote optimal vision while preventing a common cause of blindness in neonates.'
  • C. Meals such as sushi with a cold deli salad made with raw sprouts combine high-fiber foods with protein sources to meet multiple nutritional needs.'
  • D. Vitamin and mineral supplements can meet your nutrient needs if you have inadequate intake because of nausea or a sensation of fullness.'
Correct Answer: A

Rationale: Step 1: During pregnancy, protein is essential for the growth and development of the fetus, making option A correct.
Step 2: The other options are incorrect due to potential risks. High-dose vitamin A (Option B) can be harmful to the fetus.
Step 3: Consuming raw sprouts (Option C) poses a risk of foodborne illness, which can be dangerous during pregnancy.
Step 4: Relying solely on supplements (Option D) is not recommended as they may not provide all the necessary nutrients found in whole foods.
In summary, option A is correct as it emphasizes the importance of protein intake during pregnancy, while the other options pose potential risks or limitations in meeting nutritional needs.

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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).

Which patient could safely be cared for by a certified nurse-midwife?

  • A. Gravida 3, para 2, with no complications
  • B. Gravida 1, para 0, with mild hypertension
  • C. Gravida 2, para 1, with insulin-dependent diabetes
  • D. Gravida 1, para 0, with borderline pelvic measurements
Correct Answer: A

Rationale: Certified nurse-midwives care for low-risk women; Gravida 3, para 2, with no complications fits this criterion.

A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high. Based on these data, which intervention should the nurse implement first?

  • A. Provide oral hydration
  • B. Have a complete blood count (CBC) drawn
  • C. Obtain a specimen for urine analysis
  • D. Place the client on strict bedrest
Correct Answer: C

Rationale: Obtaining a urine analysis (C) should be done first because preterm clients with uterine irritability and contractions are often suffering from a urinary tract infection, and this should be ruled out first.

A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse's response regarding the danger of taking excessive vitamins?

  • A. Increases caloric intake
  • B. Has toxic effects on the fetus
  • C. Increases absorption of all vitamins
  • D. Promotes development of pregnancy-induced hypertension (PIH)
Correct Answer: B

Rationale: The correct answer is B: Has toxic effects on the fetus. Doubling prenatal vitamin dose can lead to excessive intake of certain vitamins like Vitamin A, which can be harmful to the fetus. Excessive vitamins can cause toxicity and harm the developing baby. Other choices are incorrect: A is irrelevant, C is misleading, and D is not related to excessive vitamin intake.

The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern?

  • A. Edema, basilar rales, and an irregular pulse.
  • B. Increased urinary output, and tachycardia.
  • C. Dyspnea, bradycardia, and hypertension.
  • D. Regular heart rate, and hypertension.
Correct Answer: A

Rationale: Edema, basilar rales, and an irregular pulse indicate potential cardiac decompensation, which is of greatest concern in a woman with heart disease during labor.

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