A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?

"A gain of about 1 pound per week is the best pattern for you."

"It would be best if you gained about 11 to 20 pounds."

"The recommendation for you is about 15 to 25 pounds."

"A gain of about 25 to 35 pounds is recommended for you."

Answer and Explanation

The Correct Answer is C

Choice A: A weight gain of about 1 pound per week is a general guideline for women with normal BMI. However, for a client with a BMI of 26.5, the recommended weight gain during pregnancy may differ.
Choice B: Gaining 11 to 20 pounds may not be sufficient for a client with a BMI of 26.5, as the recommended weight gain is slightly higher for women with a higher prepregnancy BMI.

Choice C: For a client with a BMI of 26.5, the recommended weight gain during pregnancy is approximately 15 to 25 pounds. This range is specific to women with a BMI in the overweight category.
Choice D: Gaining 25 to 35 pounds is recommended for clients with a lower BMI range (normal BMI). For a client with a BMI of 26.5, this amount of weight gain may be excessive.

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Correct Answer is A

Explanation

A. A surge of energy: Some women experience a sudden burst of energy, often referred to as a "nesting" instinct, shortly before the onset of labor.
B. Urinary retention: Urinary frequency and urgency are more common before labor, not urinary retention.
C. Decreased vaginal discharge: Before labor, there might be an increase in vaginal discharge, often thick and pinkish, known as the "bloody show."
D. Weight gain of 0.5 to 1.5 kg: Weight gain is not typically associated with the onset of labor.

A. "Don't worry. You will be fine once the baby is born." B. "Ambivalent feelings are quite common for women early in pregnancy." C. "Perhaps you should see a counselor to discuss these feelings further." D. "Have you spoken to your mother about these feelings?"

Correct Answer is B

Explanation

Choice A: This response is dismissive and does not validate the client's feelings. It may not address the client's concerns effectively.

Choice B: This response validates the client's feelings and reassures her that ambivalent feelings about pregnancy are common. It provides a supportive approach and normalizes her emotions.

Choice C: While counseling might be helpful for some clients, suggesting it immediately without further assessment of the client's needs may not be the most appropriate response at this stage.

Choice D: Encouraging the client to discuss her feelings with her mother may not be suitable, as the client might prefer professional support or may not have a positive relationship with her

mother. It is essential to avoid making assumptions about the client's support system and address her concerns empathetically.

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A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that precedes labor?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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