A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate?
"You can continue your moderate daily jogging as long as you stay hydrated, don't push yourself too hard, and don't get overheated."
"Activities that consistently raise your body temperature, such as saunas and hot tubs, are safe until the third trimester."
"It is recommended that pregnant clients limit their exercise to only stretching while lying flat on a mat several times a week."
"Exercising during pregnancy is not recommended at all."
The Correct Answer is A
A: Engaging in moderate physical activity during pregnancy, such as jogging, is generally safe and beneficial for pregnant women who have uncomplicated pregnancies. Staying hydrated, avoiding excessive exertion, and preventing overheating are important considerations during exercise.
B: The use of saunas and hot tubs during pregnancy is generally not recommended at any trimester, as they can cause hyperthermia and pose risks to the developing fetus.
C: Limiting exercise to only stretching on a mat is not appropriate during pregnancy. Regular physical activity is generally encouraged, provided there are no specific contraindications or complications.
D: Completely avoiding exercise during pregnancy is not recommended, as moderate and appropriate physical activity can have various benefits for both the mother and the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) "Maybe next time you can have a vaginal delivery.": This response may not be appropriate as it assumes a future pregnancy and vaginal delivery is guaranteed. It may not address the client's current feelings of disappointment adequately.
B) "It sounds like you are feeling sad that things didn't go as planned.": This is the correct answer as it shows empathy and validates the client's feelings of disappointment. It acknowledges the client's emotions and provides support during this sensitive time.
C) "You can resume sexual relations sooner than if you had delivered vaginally.": While this statement may be true, it is not directly related to the client's expressed feelings of disappointment.
D) "At least you know you have a healthy baby.": This response dismisses the client's feelings and may not be wellreceived, as the client is expressing a desire for emotional support rather
than a reassurance about the baby's health.
Correct Answer is C
Explanation
The correct answer is: c. 42022
Choice A: 40122
Reason: This choice is incorrect because it indicates 4 pregnancies (correct), 0 term births (correct), 1 preterm birth (correct), 2 abortions (correct), but 2 living children (incorrect). The client has 2 living children, which is correct, but the term and preterm counts are not accurate.
Choice B: 20020
Reason: This choice is incorrect because it indicates 2 pregnancies (incorrect), 0 term births (correct), 0 preterm births (incorrect), 2 abortions (correct), and 0 living children (incorrect). The client has had 4 pregnancies, 1 preterm birth, and 2 living children.
Choice C: 42022
Reason: This choice is correct. It indicates 4 pregnancies (current pregnancy, elective abortion, twins, spontaneous abortion), 0 term births, 2 preterm births (twins at 36 weeks), 2 abortions (elective at 9 weeks, spontaneous at 15 weeks), and 2 living children (twins).
Choice D:
The GTPAL system is used to assess a client's obstetric history:
- G (Gravida): The total number of pregnancies, including the current one.
- T (Term births): The number of pregnancies carried to at least 37 weeks.
- P (Preterm births): The number of pregnancies delivered between 20 and 36 weeks, 6 days.
- A (Abortions): The number of pregnancies ending before 20 weeks (spontaneous or elective).
- L (Living children): The number of children currently alive.
For this client:
G (Gravida): 4 (one elective abortion, one twin pregnancy, one spontaneous abortion, and the current pregnancy).
- T (Term births): 0 (the twin pregnancy was delivered at 36 weeks, which is preterm).
- P (Preterm births): 1 (twins delivered at 36 weeks count as one preterm birth).
- A (Abortions): 2 (one elective abortion at 9 weeks, one spontaneous abortion at 15 weeks).
- L (Living children): 2 (the twins).
Thus, the GTPAL for this client is 4-0-1-2-2.
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