A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider.

Which of the following should be included?

Vaginal bleeding.

Lightheadedness when lying on back.

Heartburn after eating.

Swelling of the ankles.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Vaginal bleeding during pregnancy can be a sign of a serious complication such as placenta previa or placental abruption. Placenta previa is a condition where the placenta partially or completely covers the cervix, which can lead to severe bleeding during pregnancy and delivery. Placental abruption is a serious condition in which the placenta separates from the uterus before the baby is born, which can cause heavy bleeding and can be life-threatening for both the mother and the baby. Therefore, any vaginal bleeding during pregnancy should be promptly reported to the healthcare provider.
Choice B rationale
Lightheadedness when lying on the back, also known as supine hypotensive syndrome, can occur in pregnancy when the enlarged uterus compresses the inferior vena cava, reducing blood return to the heart and causing a drop in blood pressure. While this can be uncomfortable, it is generally not considered a serious complication and can be alleviated by changing position.
Choice C rationale
Heartburn after eating is a common discomfort during pregnancy due to hormonal changes that relax the lower esophageal sphincter, allowing stomach acid to reflux into the esophagus. While it can be uncomfortable, it is generally not a sign of a serious complication.
Choice D rationale
Swelling of the ankles, also known as edema, is common in pregnancy due to increased fluid volume in the body. While it can be uncomfortable, it is generally not a sign of a serious complication unless it is sudden or severe, which could be a sign of preeclampsia.

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Correct Answer is D

Explanation

Choice A rationale
While fat-soluble vitamins are essential for overall health, they do not specifically prevent iron deficiency anemia. Iron deficiency anemia occurs when the body doesn’t have enough iron to produce hemoglobin, the part of red blood cells that gives them their red color and enables them to carry oxygen in the blood.
Choice B rationale
Limiting intake of high-protein foods is not a recommended method for preventing iron deficiency anemia. In fact, many high-protein foods, such as meat and eggs, are good sources of iron.
Choice C rationale
While fluoridated water can help prevent tooth decay, it does not prevent iron deficiency anemia. Iron deficiency anemia is prevented by consuming adequate amounts of iron, either from food sources or from supplements.
Choice D rationale
A diet that consists primarily of milk, particularly cow’s milk, can contribute to iron deficiency anemia. Cow’s milk is low in iron and can also decrease absorption of iron and irritate the lining of the intestine, causing small amounts of bleeding and the gradual loss of iron in the stool (poop)4.

A. “Offer fluids to your child multiple times every day.”. B. “Monitor your child’s temperature daily.”. C. “Apply cold compresses when your child expresses pain.”. D. “Restrict outdoor play activity to 1 hour per day.”.

Correct Answer is A

Explanation

Choice A rationale
Hydration is crucial for children who have recovered from an acute crisis episode of sickle cell anemia. Dehydration can increase the risk of a sickle cell crisis by making the blood more concentrated. Offering fluids to the child multiple times every day can help prevent dehydration.
Choice B rationale
Monitoring the child’s temperature daily can help detect any infections early. Infections can trigger a sickle cell crisis. However, this is not the most critical instruction for the nurse to include in the teaching.
Choice C rationale
Applying cold compresses when the child expresses pain is not recommended. Cold can cause vasoconstriction, which can lead to a decrease in blood flow and potentially trigger a sickle cell crisis.
Choice D rationale
Restricting outdoor play activity to 1 hour per day is not necessarily required for children who have recovered from an acute crisis episode of sickle cell anemia. Physical activity is generally beneficial for children’s health and well-being.

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A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating the parents of a toddler about iron deficiency anemia. Which of the following should the nurse suggest as a method of preventing iron deficiency anemia?

Correct Answer is D

Explanation

A nurse is discharging a child who has recovered from an acute crisis episode of sickle cell anemia. What instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

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A nurse is caring for a pregnant client and reviewing signs of complications that should be promptly reported to the provider.

Which of the following should be included?