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. Take sips of milk between meals.
- B. Eat three large meals per day.
- C. Drink a cup of black coffee before breakfast.
- D. Lie in a left side-lying position for 30 minutes after meals.
Correct Answer: A
Rationale: Taking sips of milk neutralizes stomach acid, soothing heartburn, a safe and effective remedy during pregnancy.
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A nurse is reinforcing teaching about travel with a client who is pregnant.
Which of the following instructions should the nurse include?
- A. Take a break and walk at least once every hour.
- B. Wear the shoulder harness snug across your shoulder.
- C. Position the lap belt across your hips.
- D. Move your car seat forward, close to the steering wheel.
Correct Answer: A
Rationale: Taking breaks and walking hourly during travel improves circulation, reducing the risk of blood clots, a key concern during pregnancy.
A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Which of the following statements by the client indicates an understanding of the teaching?
- A. White blood cell count is an indicator of anemia.
- B. Platelet count identifies if I am at risk for bleeding.
- C. Sedimentation rate checks for signs of cancer.
- D. Urine specific gravity identifies my risk for pregnancy-induced hypertension.
Correct Answer: B
Rationale: Platelet count assesses bleeding risk, indicating the client understands its purpose in monitoring clotting ability.
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Which of the following information should the nurse include?
- A. We will scan your baby's identification bracelet each shift.
- B. You should check the identity of individuals who come to remove your baby from the room.
- C. We will match the bracelet on your baby with his footprints each shift.
- D. Your baby will wear an electronic bracelet when he is out of your room.
Correct Answer: B
Rationale: Parents checking identities of individuals removing the baby enhances security, a key safety measure for newborns.
A nurse is reinforcing teaching about preventing mastitis with a client who is breastfeeding.
Which of the following instructions should the nurse include?
- A. You should use a breast pump if you plan to return to work.
- B. Cover your breasts immediately after feedings.
- C. Wash your nipples with soap and water daily.
- D. Wear an underwire bra between feedings.
Correct Answer: A
Rationale: Using a breast pump prevents engorgement and maintains milk flow, reducing mastitis risk when returning to work.
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
- A. Have the client ambulate as often as possible.
- B. Apply warm, moist packs to the client's lower legs.
- C. Apply elastic stockings before the client gets out of bed.
- D. Administer NSAIDs every 4 to 6 hours.
Correct Answer: A
Rationale: Encouraging ambulation stimulates circulation, preventing blood clots and reducing thrombophlebitis risk post-cesarean.
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