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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Correct Answer is C
Explanation
Choice C rationale
While moderate caffeine consumption is generally considered safe during pregnancy, it’s important to note that caffeine is a stimulant and can increase heart rate and blood pressure, which can potentially affect the baby. Some studies also suggest that high caffeine intake may increase the risk of preterm birth or low birth weight. Therefore, it’s often recommended that pregnant women limit their caffeine intake.
Correct Answer is A
Explanation
Choice A rationale
Maintain the patient on bed rest. This is a common nursing intervention for a patient who is experiencing an inevitable abortion. Bed rest can help reduce the risk of further complications, such as heavy bleeding. It can also provide the patient with a chance to rest and recover physically and emotionally.
Choice B rationale
Offer the option to view products of conception. This intervention may not be appropriate for all patients. While some patients may find it helpful to view the products of conception, others may find it distressing. It’s important to discuss this option with the patient and respect her wishes.
Choice C rationale
Administer oxygen via a nasal cannula. This intervention may not be necessary for all patients experiencing an inevitable abortion. While oxygen therapy can be used to treat hypoxia in patients with heavy bleeding, it’s not typically required unless the patient shows signs of hypoxia.
Choice D rationale
Instruct the patient to increase potassium-rich foods in the diet. This intervention is not typically part of the care plan for a patient experiencing an inevitable abortion. While a balanced diet is important for overall health, there’s no specific need to increase potassium-rich foods in the diet in this situation.
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