A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.
Which statement by the client indicates a need for further teaching?
I will use only nonprescription medications while pregnant.
I will tell my doctor before using home remedies for nausea.
I will monitor my weight gain during the remaining months.
I will reduce my stress level.
The Correct Answer is A
Choice A rationale
The statement “I will use only nonprescription medications while pregnant” indicates a need for further teaching. Not all nonprescription (over-the-counter) medications are safe to use during pregnancy. Some may have effects on the fetus and others may affect the course of the pregnancy.
Choice B rationale
It’s important for pregnant women to discuss any home remedies for nausea or other symptoms with their doctor, as some remedies may not be safe during pregnancy.
Choice C rationale
Monitoring weight gain during pregnancy is important as excessive or insufficient weight gain can lead to complications such as gestational diabetes, hypertension, or growth issues for the baby.
Choice D rationale
Reducing stress levels during pregnancy is beneficial for both the mother and the baby’s health. High levels of stress can lead to complications such as preterm labor and low birth weight.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While smoking during pregnancy can have many negative effects on a baby’s health, it is not specifically linked to hearing loss.
Choice B rationale
Type 1 diabetes mellitus is not caused by maternal smoking. It is an autoimmune condition where the body’s immune system destroys the cells that release insulin.
Choice C rationale
Congenital heart defects can have many causes, including genetic factors and certain maternal health conditions. However, they are not specifically linked to maternal smoking.
Choice D rationale
Smoking during pregnancy can cause intrauterine growth restriction. This is because nicotine and other harmful chemicals in cigarettes can cross the placenta and interfere with the baby’s blood supply. This can limit the amount of oxygen and nutrients the baby receives, leading to slower growth. Placental abruptionPlacental abruption Explore
Correct Answer is C
Explanation
Choice A rationale
While it’s important for the nurse to provide reassurance and support during the exam, this statement alone doesn’t address the client’s specific concerns or provide any useful information.
Choice B rationale
Telling the client to relax doesn’t address her concerns or provide any useful information. It’s normal to feel nervous before a pelvic exam, especially if it’s the first one.
Choice C rationale
Asking the client what part of the exam makes her most nervous allows the nurse to provide specific information and reassurance, which can help alleviate the client’s anxiety.
Choice D rationale
While a pelvic exam is often part of the process when starting oral contraceptives, it’s not always required. The need for a pelvic exam can depend on the client’s age, sexual history, and other factors.
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