How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse is caring for an adolescent who recently found out that they are unexpectedly pregnant. Which of the following statements indicates that the client is emotionally prepared for pregnancy?

A.

"I've been talking to the baby a lot and haven't told anyone except my mom yet."

B.

"I don't want to tell my partner in case they don't believe me."

C.

"I've decided to take a break from school and focus on the baby."

D.

"I don't need to worry about how much I eat now that I'm pregnant."

Answer and Explanation

The Correct Answer is A

A. "I've been talking to the baby a lot and haven't told anyone except my mom yet." Talking to the baby suggests emotional attachment and early bonding, which indicates the adolescent is beginning to process and accept the pregnancy. Sharing the news with a trusted individual, like their mother, also suggests they are seeking support.
B. "I don't want to tell my partner in case they don't believe me." Avoiding disclosure due to fear of disbelief suggests uncertainty or anxiety about the pregnancy, which may indicate emotional unpreparedness. Open communication is important for coping and planning.
C. "I've decided to take a break from school and focus on the baby." While prioritizing the baby is important, making major life decisions without exploring available resources may reflect a reactive rather than a well-thought-out approach. Support systems can help balance education and parenting responsibilities.
D. "I don't need to worry about how much I eat now that I'm pregnant." This statement indicates a misunderstanding of nutritional needs during pregnancy. Proper nutrition is crucial for both maternal and fetal health, and disregarding dietary needs may suggest a lack of readiness for the responsibility of pregnancy.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

Explanation

The client's vital signs indicate worsening hypotension (BP decreased from 90/50 mmHg to 76/45 mmHg) and tachycardia (HR increased from 118 to 121 bpm), suggesting hypovolemia, possibly due to gastrointestinal (GI) bleeding from a suspected peptic ulcer (positive H. pylori test and hemoccult-positive stool). First Action – Obtain IV Access: The client is at risk for hypovolemic shock, so establishing IV access is the priority to administer fluids or blood products if needed. Second Action – Place the client in a supine position with feet elevated:This helps improve perfusion to vital organs by increasing venous return and cardiac output.

Rationale for Incorrect Options:

Rechecking oxygen saturation is unnecessary at this moment because SpO₂ is already stable at 98%.

Calling the surgical team STAT is premature; stabilization of the client’s circulation should occur first before proceeding with the endoscopy.

Correct Answer is B

Explanation

A. "Cola soft drink." A standard 240 mL (8 oz) serving of cola contains approximately 20 to 40 mg of caffeine. While this is lower than the caffeine content in coffee or tea, it is still higher than that of hot cocoa.
B. "Hot cocoa." Hot cocoa contains the least amount of caffeine, typically around 5 mg per 240 mL (8 oz). Cocoa naturally contains small amounts of caffeine, but it is significantly lower than in coffee, tea, or soda.
C. "Brewed green tea." A 240 mL (8 oz) serving of brewed green tea contains approximately 30 to 50 mg of caffeine. While green tea has less caffeine than coffee, it still has more than hot cocoa.
D. "Instant coffee." Instant coffee has one of the highest caffeine contents per 240 mL (8 oz), ranging from 60 to 80 mg. This makes it a less suitable choice for someone trying to reduce caffeine intake.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register