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 D
Explanation
A. "Turn on fans in the facility to circulate air." Fans should not be turned on during a chemical disaster because they can spread contaminants throughout the facility, increasing exposure to toxic substances.
B. "Open the fireplace dampers in the day room." Opening fireplace dampers can allow contaminated air to enter the facility, increasing the risk of exposure. Sealing off potential entry points for hazardous chemicals is a priority in these situations.
C. "Cover the electrical outlets with wet towels." While sealing gaps and vents can help reduce chemical exposure, using wet towels over electrical outlets is not an effective protective measure. Instead, doors, windows, and ventilation systems should be sealed as much as possible to prevent outside air from entering.
D. "Move clients to a room above ground with few windows." In an external chemical disaster, sheltering in place is essential. A room above ground is preferable because many chemicals are heavier than air and can accumulate in lower levels. Selecting a space with few windows helps minimize exposure by reducing potential entry points for contaminants.
Correct Answer is D
Explanation
A. Rigid abdomen. A rigid or board-like abdomen is characteristic of placental abruption, not placenta previa. Placental abruption involves premature separation of the placenta from the uterine wall, leading to significant abdominal pain and uterine tenderness. In contrast, placenta previa typically presents with painless bleeding.
B. Increased fetal movement. Fetal movement is not directly affected by placenta previa unless there is severe hemorrhage leading to fetal distress. While decreased movement in cases of significant bleeding may indicate fetal compromise, increased movement is not a typical finding.
C. Persistent uterine contractions. Placenta previa does not usually cause persistent contractions. While mild uterine irritability may occur, placenta previa is primarily characterized by painless bleeding. Persistent contractions are more commonly associated with preterm labor or placental abruption.
D. Bright red vaginal bleeding. The hallmark sign of placenta previa is painless, bright red vaginal bleeding in the second or third trimester. This occurs due to the placenta covering or being near the cervical os, leading to bleeding as the cervix begins to dilate or efface.
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