A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:

Perform daily fetal movement counts.

Limit fluid intake to 1,000 ml/day.

Limit sodium intake to 2,000 mg/day.

Rest in bed in the supine position.

Answer and Explanation

The Correct Answer is A

Choice A rationale:
Fetal movement counts are a simple yet effective tool to monitor fetal well-being in women with preeclampsia. They provide valuable insights into the baby's activity level and can alert the healthcare team to potential concerns early on.
Preeclampsia can compromise placental blood flow, which can lead to decreased fetal movement. By tracking fetal movements daily, the mother can detect any significant changes or reductions in activity, prompting further assessment and intervention if necessary.
Research has shown that regular fetal movement counts can reduce the risk of stillbirth in women with preeclampsia. This is because prompt recognition of decreased fetal movements allows for timely interventions, such as closer monitoring, induction of labor, or delivery, to prevent adverse outcomes.
Daily fetal movement counts empower women to take an active role in their pregnancy care and contribute to a sense of control in a condition that can often feel unpredictable. This increased involvement can promote maternal-fetal bonding and reduce anxiety.
Choice B rationale:
While fluid restriction has been a traditional recommendation for preeclampsia, current evidence does not support limiting fluid intake to 1,000 ml/day. In fact, excessive fluid restriction can lead to dehydration, which can worsen placental perfusion and compromise fetal well-being.
It's essential for women with preeclampsia to maintain adequate hydration to support essential bodily functions and fetal growth. Adequate fluid intake also helps to prevent urinary tract infections, which are more common in women with preeclampsia.
Choice C rationale:
Although reducing sodium intake can be beneficial for overall blood pressure control, there's insufficient evidence to support a strict sodium restriction of 2,000 mg/day specifically for managing mild preeclampsia. Individual needs may vary, and a more moderate approach to sodium reduction is often recommended.
Focusing on a balanced, healthy diet with appropriate sodium intake is generally more effective than strict limitations. This approach promotes overall well-being and supports healthy blood pressure levels without compromising nutritional needs. Choice D rationale:
Rest is often recommended for women with preeclampsia to reduce stress on the cardiovascular system and promote placental blood flow. However, the supine position (lying on the back) is not ideal, as it can further compress the large blood vessels in the abdomen and potentially reduce blood flow to the placenta.
Side-lying positions, particularly the left lateral position, are preferred for women with preeclampsia. These positions help to alleviate pressure on the major blood vessels, enhance blood flow, and improve uteroplacental circulation, which benefits both the mother and the baby.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A, 42022:
This option incorrectly counts the elective abortion as a term birth. Elective abortions, regardless of gestational age, are not considered term births in the GTPAL system. They are classified under abortions (A).

Including the elective abortion as a term birth would overestimate the client's parity, leading to inaccurate assessment of her reproductive history.

Choice B, 20022:
This option incorrectly excludes the elective abortion from the GTPAL calculation. Elective abortions are considered pregnancies and are included in the gravida (G) count.
Omitting the elective abortion would underestimate the client's overall pregnancy history and potentially overlook relevant factors related to her reproductive health.

Choice D, 20222:
This option incorrectly counts the spontaneous abortion as a preterm birth. Spontaneous abortions that occur before 20 weeks of gestation are not classified as preterm births in the GTPAL system. They are categorized as abortions (A).
Classifying the spontaneous abortion as a preterm birth would misrepresent the client's obstetric history and potentially lead to inappropriate care decisions.

Choice C, 40122:
This option accurately reflects the client's parity based on the GTPAL system:
Gravida (G): 4 (total pregnancies, including elective abortion, spontaneous abortion, twin birth, and current pregnancy) Term (T): 0 (no previous term births)
Preterm (P): 1 (twin birth at 36 weeks, considered preterm as it occurred before 37 weeks) Abortions (A): 2 (elective abortion and spontaneous abortion)
Living children (L): 2 (twins from the previous pregnancy)

A. Rh incompatibility. B. Neural tube defects. C. Fetal gender. D. Cephalopelvic disproportion. E. Chromosomal defects.

Correct Answer is ["B","C","E"]

Explanation

Choice A:
Rh incompatibility is not directly identified through amniocentesis. Instead, it's typically assessed through blood tests that determine a woman's Rh factor and screen for Rh antibodies.
However, amniocentesis can provide information that might be relevant to Rh incompatibility, such as the fetal Rh type. If the mother is Rh-negative and the fetus is Rh-positive, there's a risk of Rh incompatibility.

Choice B:
Amniocentesis can detect neural tube defects (NTDs) like spina bifida and anencephaly.
It does this by measuring the levels of alpha-fetoprotein (AFP) in the amniotic fluid. AFP is a protein produced by the fetal liver, and elevated levels in the amniotic fluid can indicate an NTD.

Choice C:
Amniocentesis can accurately determine the fetal gender by examining the sex chromosomes present in the cells of the amniotic fluid.

Choice D:
Cephalopelvic disproportion (CPD) is a condition where the baby's head is too large to fit through the mother's pelvis. It's not diagnosed through amniocentesis.
CPD is usually suspected based on clinical findings like a slow progression of labor or a high fetal station, and it might be confirmed with imaging techniques like X-ray or ultrasound.

Choice E:
Amniocentesis is a valuable tool for diagnosing chromosomal defects, such as Down syndrome, Trisomy 18, and Trisomy 13. It does this by analyzing the chromosomes of the fetal cells present in the amniotic fluid.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is 15 weeks pregnant about to undergo amniocentesis. This test can identify which traits or problems? Select all that apply.

Correct Answer is ["B","C","E"]

Explanation

A nurse is assisting with the admission of a client who is at 8 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?

A nurse is admitting a client who is at 36 weeks gestation and has pain, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? Choice Options:

A nurse is collecting data from a client who is at 16 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the prior day. The nurse should use which of the following terms to document this finding?

A nurse is teaching a client who is scheduled for a non-stress test. Which of the following information should the nurse include? Choice Options:

A nurse caring for a client during a non-stress test (NST) notes fetal movement. Each deceleration lasts 30 seconds. Which of the following results are in?

A nurse is assisting with a community program to educate adolescents about contraception. After the class, a 15-year-old girl asks the nurse which method is best for her to use. Which of the following statements is an appropriate nursing response?

A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?