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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.
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A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to start chemotherapy immediately.
- B. I will need to attend a support group when I get home.
- C. I will need an amniocentesis within 1 month.
- D. I will need home palliative services after I am discharged from the hospital.
Correct Answer: B
Rationale: Attending a support group provides emotional support and coping strategies post-molar pregnancy, reflecting an understanding of the psychosocial resources available.
A nurse is collecting data from a client who has hyperemesis gravidarum.
Which of the following findings should the nurse anticipate?
- A. Increased fundal height
- B. Poor skin turgor
- C. Decreased pulse rate
- D. Proteinuria
Correct Answer: B
Rationale: Poor skin turgor is a common finding in clients with hyperemesis gravidarum due to dehydration. Excessive vomiting leads to fluid loss and dehydration, resulting in poor skin elasticity and turgor.
A nurse is caring for a client who inquires about available methods of contraception. Which of the following actions should the nurse take?
- A. Perform unbiased teaching
- B. Assess the client's socioeconomic status
- C. Collect a dietary history
- D. Select the best method of contraception for the client.
Correct Answer: A
Rationale: The nurse should provide comprehensive and unbiased information about the various methods of contraception available. This involves explaining the pros and cons of each method, effectiveness, potential side effects, and how each method aligns with the client's lifestyle and health needs, allowing the client to make an informed decision.
A nurse is reinforcing teaching with a client about laboratory testing during pregnancy. Which of the following statements should the nurse include in the teaching?
- A. A Papanicolaou test will be performed to detect the presence of herpes simplex type 1.
- B. A group B streptococcus screening will be performed to determine the presence of STs.
- C. A multiple marker screening will be performed to identify neural tube defects.
- D. A glucose tolerance test will be performed to predict hyperglycemia in your baby
Correct Answer: C
Rationale: Multiple marker screening, also known as maternal serum screening or quad screen, is a routine prenatal test performed between 15 and 20 weeks of gestation. It helps identify the risk of certain chromosomal abnormalities, including neural tube defects like spina bifida and anencephaly.
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. Urination urgency and frequency
- B. Tingling in the fingers
- C. Round ligament pain
- D. Perineal discomfort and pressure
Correct Answer: A
Rationale: Increased urgency and frequency of urination are common discomforts during the first trimester of pregnancy. This occurs due to hormonal changes and the growing uterus pressing on the bladder, which reduces its capacity.