Nokea
Which statement made by a participant indicates the need for additional teaching regarding management of urinary frequency?
- A. Limiting fluid intake will help control this problem.
- B. I should report a burning sensation during urination.
- C. Urinating before going to bed may help control this problem.
- D. Avoiding caffeinated beverages may help control the problem.
Correct Answer: A
Rationale: Limiting fluid intake is not recommended, as hydration is essential; the other statements reflect appropriate management strategies.
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The nurse advises the client with constipation to increase intake of which food?
- A. High-fiber fruits and vegetables
- B. White rice
- C. Processed meats
- D. Sugary desserts
Correct Answer: A
Rationale: High-fiber fruits and vegetables promote bowel regularity, relieving constipation safely during pregnancy.
To improve sperm production, the nurse should instruct the client's husband to avoid which activities? Select all that apply.
- A. Swimming in chlorinated water
- B. Sitting in hot tubs
- C. Wearing boxer shorts
- D. Wearing colored underwear
- E. Smoking cigarettes
- F. Refraining from strenuous exercise
Correct Answer: B,E
Rationale: High temperatures from hot tubs can impair sperm production by overheating the testes. Smoking cigarettes negatively affects sperm quality and quantity.
When providing information about iron supplements, which instruction by the nurse is most appropriate?
- A. Take the supplement with meals.
- B. Take the supplement with orange juice.
- C. Increase your intake of dairy products.
- D. You can substitute dietary sources of iron for this medication.
Correct Answer: B
Rationale: Taking iron with orange juice (rich in vitamin C) enhances absorption, addressing the client's constipation concern.
The nurse observes on the monitor tracing of the client in the transition phase of labor that the baseline FHR is 160 and that there is moderate variability with V-shaped decelerations unrelated to contractions. What should the nurse do first?
- A. Prepare for delivery.
- B. Notify the obstetrician.
- C. Apply oxygen nasally.
- D. Reposition the client.
Correct Answer: D
Rationale: Repositioning the client to her side or to knee-chest should be done first to take the pressure off the umbilical cord. Variable decelerations usually result from cord compression and stretching during fetal descent. The fetus has a normal baseline HR and good variability. There is no indication that immediate delivery is necessary. Other measures could correct the V-shaped (variable) decelerations. Other nursing measures are used to correct the V-shaped (variable) decelerations prior to contacting the obstetrician (or midwife). Repositioning the client should be implemented prior to giving her oxygen.
Which dietary recommendation supports postpartum recovery?
- A. High-protein, balanced diet
- B. Low-calorie, restrictive diet
- C. High-sugar snacks
- D. Caffeine-only beverages
Correct Answer: A
Rationale: A high-protein, balanced diet supports tissue repair and energy needs during postpartum recovery.