A nurse is instructing a client about food safety during pregnancy. Which of the following information should the nurse include?
"Store and eat luncheon deli meats cold while pregnant."
"Wash all fruits thoroughly before consumption during pregnancy."
"Consumption of raw fish is safe during pregnancy if done in moderation."
"Food-borne illnesses are more difficult to contract while pregnant."
The Correct Answer is B
Rationale:
A. "Store and eat luncheon deli meats cold while pregnant.": Cold deli meats can harbor Listeria monocytogenes, which can cause listeriosis and increase the risk of miscarriage or fetal infection. Pregnant clients should heat deli meats until steaming before consumption to reduce this risk.
B. "Wash all fruits thoroughly before consumption during pregnancy.": Washing fruits removes dirt, bacteria, and potential contaminants such as Listeria or Toxoplasma, reducing the risk of food-borne illness. This is a key preventive measure for maintaining maternal and fetal health.
C. "Consumption of raw fish is safe during pregnancy if done in moderation.": Raw fish can contain parasites and bacteria such as Salmonella, or Toxoplasma. Pregnant clients should avoid raw or undercooked fish entirely to prevent serious infections that can harm the fetus.
D. "Food-borne illnesses are more difficult to contract while pregnant.": Pregnancy actually increases susceptibility to certain food-borne illnesses due to immunologic changes. Pregnant clients should follow strict food safety measures to protect both maternal and fetal health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
Rationale for Correct Choices
• Intravenous antibiotic: The client shows classic signs of postpartum endometritis, including fever, uterine tenderness, boggy fundus, and foul-smelling lochia. IV antibiotics are the primary treatment to target the uterine infection and prevent progression or sepsis.
• Increase in daily fluid intake: Adequate hydration supports circulation, helps maintain uterine tone, and assists in reducing the risk of complications such as hypotension or dehydration from infection. Fluids also support antibiotic therapy by promoting renal clearance and overall recovery.
Rationale for Incorrect Choices
• Kleihauer-Betke test: This test identifies fetal-to-maternal hemorrhage, which is not indicated here because the client’s hemoglobin is stable and there is no evidence of significant postpartum hemorrhage.
• Tocolytic medication: Tocolytics are used to suppress preterm labor, which is irrelevant for this postpartum client whose uterus has already delivered the fetus.
• Intrauterine tamponade balloon: This intervention is used for severe postpartum hemorrhage to mechanically control bleeding. The client’s bleeding is moderate and the uterus is firm after massage, so this is not indicated at this time.
Correct Answer is B
Explanation
Rationale:
A. Diabetes mellitus: Diabetes is not a direct contraindication or risk factor for complications from electroconvulsive therapy (ECT). Blood glucose should be monitored, but it does not increase procedural risk.
B. Subdural hematoma: A subdural hematoma increases the risk of complications during ECT because the induced seizure can elevate intracranial pressure, potentially worsening the hematoma or causing neurological deterioration. This is a significant safety consideration.
C. Hyperthyroidism: While hyperthyroidism can affect cardiovascular response, it is not as high-risk as intracranial pathology. Pre-procedure assessment may include thyroid function evaluation if indicated.
D. Renal calculi: Kidney stones do not increase the risk of ECT complications. This condition is unrelated to seizure induction or anesthetic considerations.
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