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pregnant. To promote fetal health when the client is
unaware of pregnancy, the nurse should stress the inclusion
of which nutrient in daily food intake?
1. Potassium
2. Calcium
3. Folic acid
4. Sodium - ✔ ANSWER ✔ 3. Folic acid is important in
preventing neural tube defects, especially during the first 4
weeks of fetal development
. The nurse is reviewing the medication hx of the client
during preconception couseling. The client reports taking
isotretinoin for acne. Which is nurse's BEST response?
1. Stop taking isotretonoin now! It can cause serious birth
defects if you become pregnant.
2. You need to be on some type of birth control now. Getting
pregnant is not an option.
3. Talk with your HCP about changing the drug before you
consider becoming pregnant.
,4. Once you are off the drug for treating acne, then you can
safely become pregnant. - ✔ ANSWER ✔ 3. This response
indicates that the med is not safe but that upon consulting
her HCP, alternative medications can be prescribed
. The nurse is counseling the client who has SLE. The client
tells the nurse that she plans to become pregnant int he next
year. Which response by the nurse is correct?
1. It is best to plan your pregnancy when you have been in
remission for 6 months
2. HAving SLE will not impact your pregnancy in any way
3. Your chances of having an infant with congenital
malformities are increased with SLE
4. You will need to be scheduled for C-section delivery to
prevent disease transmission - ✔ ANSWER ✔ 1.
Pregnancy palled during period of inactive or stable disease
often results in giving birth to a healthy full-term baby
without increased risks of pregnancy complications
. The 22 year old client tells the clinic nurse that her last
menstrual period was 3 months ago, which began Nov. 21.
She has a positive urine pregnancy test. Using Naegle's
rule, which date should the nurse calculate to be the clients
estimated date of confinement?
1. Aug. 28
2. Jan. 28
3. Aug 15
,4. Jan 15 - ✔ ANSWER ✔ 1. To calculate the EDC using
Naegle's rule, you subtract 3 months and add 7 days.
. The client, who is Chinese American and pregnant, is
receiving nutritional counseling about the need for
increased amounts of calcium in her diet. Which response
by the nurse is most helpful when the client states she does
not consume any dairy products?
1. Tell me how you perceive dairy products in your culture
2. Try having a glass of soy milk every night before bed
3. Tell me about your intake of fortified tofu and leafy green
veggies
4. Rice milk fortified with calcium and nettle tea are good
calcium choices - ✔ ANSWER ✔ 3. Assessing the client's
intake of calcium-rich foods is the best response. Both
fortified tofu and leafy green veggies are high in calcium
and are common foods consumed int he Chinese American
diet
741. The client tells the nurse, "Most day I am so happy I am
pregnant, but other days I am not so sure I am ready to have
a baby" Which response by the nurse is most accurate?
1. This is such a happy time in your life. You need to be
optimistic and feel happy.
2. How does your spouse feel about the baby? I hope he is
happy about the pregnancy
, 3. Feeling differently from day to day is normal. How do you
feel today?
4. Why do you feel this way? Is there something I can do to
make it better for you? - ✔ ANSWER ✔ 3. It's most
therapeutic to acknowledge the clients feelings and probe
for more info on her thoughts and feelings about the
pregnancy
742. The nurse is teaching the pregnant client during her
first trimester. The nurse identifies that which decision is
most important for her to make first?
1. Bottle vs. breastfeeding
2. Labor and delivery location
3. Pain management during delivery
4. Method of delivery for the baby - ✔ ANSWER ✔ 2.
Decision regarding labor and delivery location is the priority
for the client in order to properly plan for a home birth vs
hospital birth, HCP availability at location, and type of labor
and delivery setting available at the location
743. The pregnant client is experiencing low back pain.
After determining that the client is not in labor, the nurse
instructs the client to perform which exercises to increase
comfort and decrease the incidence of the low back pain?
SATA
1. Kegel exercises
2. Pelvic tilt exercises