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A nurse in a prenatal clinic is reinforcing teaching with a client who is at 20 weeks of gestation and has a low calcium level.
Which of the following foods should the nurse recommend the client increase in her diet?
- A. Peanut butter
- B. Avocados
- C. Yogurt
- D. Long-grain rice
Correct Answer: C
Rationale: Yogurt is an excellent calcium source, vital for fetal bone development and maternal health, making it the best recommendation for low calcium levels.
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A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Which of the following statements should the nurse make?
- A. You will not be able to eat or drink anything for 8 hours prior to the test.
- B. You will be required to lie flat on your back for the duration of the test
- C. You will receive medication through an IV line to stimulate contractions.
- D. You will press the provided button when you feel the baby moving during the test.
Correct Answer: D
Rationale: Pressing a button when feeling fetal movement during a nonstress test correlates movement with heart rate changes, assessing fetal well-being accurately.
A nurse is assisting in the care of a client who is 3 hours postpartum and reports complete saturation of their perineal pad in the past 30 minutes.
Which of the following actions is the highest priority?
- A. Perform fundal massage
- B. Weigh the perineal pad
- C. Apply oxygen by face mask
- D. Monitor urine output
Correct Answer: A
Rationale: Complete saturation of the perineal pad within 30 minutes postpartum suggests excessive bleeding, potentially indicating postpartum hemorrhage. Fundal massage stimulates uterine contractions to control bleeding by compressing blood vessels at the placental site, making it the highest priority action.
A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I have contractions more often than every 10 minutes, might be in preterm labor.
- B. I can take a daily iron supplement to prevent preterm labor.
- C. I should expect to feel pain in my upper right abdomen if I'm having preterm labor.
- D. I might be experiencing preterm labor if walking stops my contractions.
Correct Answer: A
Rationale: Contractions occurring more frequently than every 10 minutes can be a sign of preterm labor and should prompt the client to seek medical attention, indicating an accurate understanding of preterm labor warning signs.
A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Which of the following medications should the nurse plan to administer?
- A. Acyclovir
- B. Metronidazole
- C. Tetracycline
- D. Amoxicillin
Correct Answer: D
Rationale: Amoxicillin is a safe and effective antibiotic for treating chlamydia in pregnant women, avoiding tetracyclines which are contraindicated due to fetal risks.
A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn.
Which of the following recommendations should the nurse include in the teaching?
- A. Lie in a left side lying position for 30 min after meals
- B. Drink a cup of black coffee before breakfast
- C. Take sips of milk between meals
- D. Eat three large meals per day
Correct Answer: C
Rationale: Taking sips of milk between meals can help neutralize stomach acid and provide temporary relief from heartburn symptoms. However, it's essential to avoid drinking large quantities of milk at once, as this can lead to increased stomach acid production.