A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia. Which of the following information about nutrition should be included in the teaching?

Drink 48 to 64 ounces of water daily.

Avoid salting foods during cooking.

Consume 40 to 50 g of protein daily.

Limit intake of whole grains, raw fruits, and vegetables.

Answer and Explanation

The Correct Answer is A

Choice a reason:
Hydration is crucial during pregnancy, especially for those with preeclampsia. Adequate water intake helps maintain blood volume and reduce blood viscosity, which can help manage blood pressure levels. Drinking 48 to 64 ounces of water daily is recommended to support the increased blood volume needed during pregnancy and to help prevent dehydration, which can exacerbate preeclampsia symptoms.

Choice b reason:
While reducing salt intake can be beneficial for managing blood pressure, it is not necessary to completely avoid salting foods during cooking. Instead, moderation is key. Excessive salt can lead to water retention, which can worsen preeclampsia, but some salt is needed for electrolyte balance and proper body function.

Choice c reason:
Protein is an essential nutrient for fetal growth and the repair and maintenance of maternal tissues. A daily intake of 40 to 50 grams of protein is generally recommended during pregnancy. However, for those with preeclampsia, protein needs may be higher due to potential protein loss in the urine. It's important to monitor protein intake and adjust as needed under medical guidance.

Choice d reason:
Limiting the intake of whole grains, raw fruits, and vegetables is not recommended. These foods provide essential nutrients, fiber, and antioxidants that are beneficial for both maternal and fetal health. They should be included as part of a balanced diet unless there are specific dietary restrictions advised by a healthcare provider.

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Correct Answer is B

Explanation

Choice A reason:
Monitoring weight gain during pregnancy is important to ensure that the mother and baby are healthy. The expected weight gain during pregnancy varies depending on the mother's pre-pregnancy weight, but generally, a total gain of 25 to 35 pounds is considered normal for women of average weight.

Choice B reason:
While some nonprescription medications are safe during pregnancy, not all are, and it is crucial to consult with a healthcare provider before taking any medication, including over-the-counter ones. Certain medications can cause harm to the developing fetus and may lead to complications such as birth defects or other adverse outcomes.

Choice C reason:
Reducing stress is beneficial during pregnancy as high levels of stress can negatively impact both the mother and the developing fetus. Stress can lead to increased risks of preterm birth and low birth weight, and it can affect the baby's development. Therefore, implementing stress-reduction techniques is a positive step for a pregnant woman.

Choice D reason:
Informing the doctor before using home remedies for nausea is advisable. While many home remedies are safe and can be effective, such as ginger and peppermint, it is always best to discuss them with a healthcare provider to ensure they are appropriate and will not interfere with the pregnancy.

A. In the third trimester B. Shortly after giving birth C. During her next attempt to get pregnant D. Immediately

Correct Answer is B

Explanation

Choice A reason:
Immunization for rubella in the third trimester is not recommended because live vaccines are contraindicated during pregnancy due to the theoretical risk to the fetus.

Choice B reason:
The recommended time for rubella immunization is shortly after giving birth. This timing is advised because the vaccine contains a live virus, which could potentially harm the fetus if given during pregnancy. By waiting until after the delivery, there is no risk to the newborn, and the mother can develop immunity before any subsequent pregnancies.

Choice C reason:
While it is important for a woman to have immunity to rubella before getting pregnant, the immunization should not be given during the time she is trying to conceive. Women are advised to avoid pregnancy for at least 28 days after receiving the MMR vaccine, which includes the rubella component, due to the live virus in the vaccine.

Choice D reason:
Immunization for rubella should not be given immediately upon finding out that the client does not have immunity during the first trimester. As mentioned, live vaccines are contraindicated during pregnancy, and the immunization should be postponed until after the birth of the baby.

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A nurse is completing discharge teaching to a client in her 35th week of pregnancy who has mild preeclampsia. Which of the following information about nutrition should be included in the teaching?

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