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 D
Explanation
Choice D rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure. It is important for pregnant women to seek medical attention if they notice sudden or severe swelling in their face, hands, or fingers.
Correct Answer is D
Explanation
Choice A rationale
Aspirin is not typically recommended for cramps following a D&C. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are usually suggested for pain relief. Aspirin can increase the risk of bleeding, which is not desirable after a surgical procedure like a D&C2.
Choice B rationale
Products of conception will not be present in vaginal bleeding after a D&C. The purpose of a D&C is to remove tissue from the uterus, including any remaining products of conception following a miscarriage.
Choice C rationale
While a balanced diet is always important, there’s no specific recommendation for an increased intake of zinc-rich foods following a D&C. Good nutrition can support healing, but there’s no need to focus specifically on zinc.
Choice D rationale
Vaginal intercourse can be resumed after 2 weeks following a D&C. This allows time for the cervix to close and any post-procedure bleeding to stop. It’s also important to prevent infection.
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