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A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Which of the following actions should the nurse encourage the client to take?
- A. Eat dry, bland foods in the morning.
- B. Take an over-the-counter antacid.
- C. Increase intake of fresh fruits.
- D. Restrict fluids to 1,000 ml/day.
Correct Answer: A
Rationale: Eating dry, bland foods like crackers in the morning can alleviate nausea by absorbing stomach acid, a common remedy for early pregnancy nausea.
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A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
- A. Fever.
- B. Diarrhea.
- C. Sedation.
- D. Diuresis.
Correct Answer: C
Rationale: Sedation is a known adverse effect of nalbuphine hydrochloride, an opioid analgesic that depresses the central nervous system, causing drowsiness.
A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
- A. A client who has a history of gallbladder disease.
- B. A client who has a positive pregnancy test.
- C. A client who smokes one pack of cigarettes per day.
- D. A client who is nulliparous.
Correct Answer: B
Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.
A nurse is reinforcing teaching with a client who is pregnant and does not consume dairy products.
Which of the following food options should the nurse recommend as the best source of dietary calcium?
- A. 1 cup sweet white corn.
- B. 1 baked potato.
- C. 1 cup kale.
- D. 1 large banana.
Correct Answer: C
Rationale: Kale is an excellent non-dairy calcium source, providing about 177 mg per cup, ideal for meeting pregnancy calcium needs.
A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy.
Which of the following discomforts should the nurse include in the teaching?
- A. Tingling in the fingers.
- B. Round ligament pain.
- C. Urination urgency and frequency.
- D. Perineal discomfort and pressure.
Correct Answer: C
Rationale: Urination urgency and frequency are common first-trimester discomforts due to hormonal changes and uterine pressure on the bladder.
A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
- B. I will place a thick soft pad behind my baby's back.
- C. I should place my baby in the car seat at a 90-degree angle.
- D. I will place the retainer clip at the level of my baby's armpit.
Correct Answer: D
Rationale: Placing the retainer clip at the armpit level ensures proper harness positioning, distributing crash forces safely across the baby’s chest and shoulders.