Nokea
Which safety measure should the nurse emphasize for newborn sleep?
- A. Place the newborn on their back to sleep
- B. Use soft bedding for comfort
- C. Co-sleep in the parent's bed
- D. Keep the room very warm
Correct Answer: A
Rationale: Placing the newborn on their back to sleep reduces the risk of sudden infant death syndrome (SIDS).
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The nurse recommends which supplement for a vegetarian pregnant client?
- A. Vitamin B12
- B. Vitamin C
- C. Calcium
- D. Magnesium
Correct Answer: A
Rationale: Vitamin B12 supplementation is crucial for vegetarian pregnant clients, as it is primarily found in animal products and supports fetal neurological development.
The nurse is providing nutrition counseling to the client during her first prenatal clinical visit. Which statement, if made by the client, indicates that the client has an understanding of some of the nutritional requirements during pregnancy?
- A. “I can eat cheese as an alternative to milk, as I don’t care for milk.”
- B. “I should be eating more at each meal because I’m eating for two.”
- C. “I will need to limit my calories because I am already overweight.”
- D. “I should limit myself to eating only three healthy meals per day.”
Correct Answer: A
Rationale: Cheese is a milk product and is an alternative to milk. This statement indicates understanding of nutritional requirements regarding milk and milk products. Caloric intake needs to increase by 300 kcal per day during pregnancy to meet increased metabolic needs. However, “I’m eating for two” is a common misconception and leads to caloric intake greater than necessary. Caloric intake needs to increase by 300 kcal per day and should not be limited during pregnancy. Nutritional snacks throughout the day can provide for steady blood glucose levels and decrease the nausea associated with pregnancy. A limit of only three meals per day may not provide the client with enough calories to meet increased metabolic needs or may cause the client to eat more at each meal and increase nausea and bloating.
During the first postpartum checkup, the nurse is assessing whether the client’s chloasma has diminished. At which anatomical location is the nurse performing the assessment?
- A. Perineum
- B. Abdomen
- C. Breasts
- D. Face
Correct Answer: D
Rationale: Chloasma does not appear on the perineum. Chloasma does not appear on the abdomen. Chloasma does not appear on the breasts. The nurse should be assessing the skin over the cheeks, nose, and forehead for chloasma.
If the client reports the following signs and symptoms, which one represents a probable sign of pregnancy?
- A. Absence of monthly periods
- B. Abdominal enlargement
- C. Nausea and vomiting
- D. Frequent urination
Correct Answer: B
Rationale: Abdominal enlargement is a probable sign of pregnancy, as it is more objective and indicative of uterine growth.
The client at 32 weeks’ gestation presents to a hospital with a severe headache. Her admission BP is 184/104 mm Hg. Based on the assessment and findings of the serum laboratory report, which most severe complication warrants the nurse’s further assessment?
- A. Renal failure
- B. Liver failure
- C. Preeclampsia
- D. HELLP syndrome
Correct Answer: D
Rationale: It is most important for the nurse to further assess for HELLP syndrome, a variation of pregnancy-induced hypertension characterized by hemolysis (elevated bilirubin), elevated liver enzymes, and low platelets. The laboratory results do not show the serum creatinine level, so no inferences can be made about renal failure. Although liver enzymes are elevated, HELLP syndrome is a more severe complication associated with pregnancy. Preeclampsia commonly coexists with HELLP syndrome; however, these laboratory findings show worsening symptoms that are associated with HELLP syndrome.