A nurse is caring for a client who is at 14 weeks of gestation. Which of the following statements should the nurse identify as the client being emotionally prepared for pregnancy?
"If I keep gaining weight, I will be miserable."
"I cannot believe I got pregnant. We really weren't even trying to have a baby."
"I understand that hormonal changes can cause me to be happy one minute and sad the next."
"This baby will totally change my lifestyle, and I am not sure I am ready for all of this."
The Correct Answer is C
A. "If I keep gaining weight, I will be miserable." Expressing anxiety about weight gain reflects a lack of emotional readiness and acceptance regarding the physical changes that accompany pregnancy.
B. "I cannot believe I got pregnant. We really weren't even trying to have a baby." Indicating surprise suggests a lack of preparation for the emotional and practical aspects of pregnancy. This reflects that the client may not have fully accepted the reality of the situation.
C. "I understand that hormonal changes can cause me to be happy one minute and sad the next." Recognizing and accepting the emotional fluctuations that can occur during pregnancy due to hormonal changes indicates a level of emotional preparation for the journey ahead.
D. "This baby will totally change my lifestyle, and I am not sure I am ready for all of this." Acknowledging the impact of having a baby on lifestyle is important, but expressing uncertainty suggests that the client may still be struggling with the implications of becoming a parent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The preschooler is at risk for developing atelectasis evidenced by the preschooler's refusal to use the spirometer.
Atelectasis, or lung collapse, is a common postoperative complication due to shallow breathing and inadequate lung expansion. In this case the child refuses to use the incentive spirometer, which is crucial for preventing atelectasis by encouraging deep breathing. Shallow respirations are noted in both assessments, indicating reduced lung expansion.
Correct Answer is B
Explanation
A. Tongue blade. Placing a tongue blade in a client’s mouth during a seizure is contraindicated as it can cause injury, break teeth, or obstruct the airway. Nothing should be inserted into the client’s mouth during a seizure.
B. Suction machine. This is essential for clearing the airway of excessive secretions or vomit following a seizure, reducing the risk of aspiration. Maintaining airway patency is a priority in seizure management.
C. NG tube. This is not necessary for immediate seizure management. Nasogastric tubes are used for gastric decompression, feeding, or medication administration but do not play a direct role in seizure care.
D. Syringe containing lorazepam. While lorazepam is used to stop prolonged seizures, it is typically stored in a secured medication area rather than kept at the bedside. Emergency medications should be readily available but not pre-drawn or left unsecured.
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