A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation. Which of the following findings indicates that the client should be referred to a registered dietician?

The client reports that they take a multivitamin daily.

The client reports a 4.5 kg (10 lb) weight gain since their positive pregnancy test.

The client reports that they are nauseous most mornings.

The client reports that they eat prunes to help manage their constipation.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Taking a multivitamin daily is generally recommended during pregnancy to ensure the mother and baby receive necessary nutrients. It does not indicate a need for referral to a dietitian.
Choice B rationale
A weight gain of 4.5 kg (10 lb) since a positive pregnancy test could be a concern depending on the timeframe. If this weight gain occurred rapidly, it could indicate issues such as fluid retention or inadequate nutrition, which would warrant a referral to a dietitian.
Choice C rationale
Nausea, particularly in the morning, is a common symptom of early pregnancy often referred to as “morning sickness”. It does not typically require dietary intervention unless it is severe (hyperemesis gravidarum), leading to weight loss and dehydration.
Choice D rationale
Eating prunes is a natural method to manage constipation, a common issue during pregnancy due to hormonal changes that slow digestion. This choice does not indicate a need for a dietitian referral.

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Correct Answer is A

Explanation

Choice A rationale
Placenta previa is a condition where the placenta partially or completely covers the cervix. Vaginal bleeding, often without pain, is a key symptom and requires immediate medical attention.
Choice B rationale
While a fetal heart rate of 174 bpm is slightly above the normal range (110-160 bpm), it is not the most critical finding in a patient with complete placenta previa.
Choice C rationale
A fundal height of 33 cm at 32 weeks of gestation is within the expected range and does not require immediate follow-up.
Choice D rationale
An abdomen that is soft and non-tender is a normal finding and does not require immediate follow-up.

A. A client who is at 10 weeks of gestation and reports frequent urination. B. A client who is at 24 weeks of gestation and reports periodic tingling of the fingers. C. A client who is at 36 weeks of gestation and reports back pain following intercourse. D. A client who is at 8 weeks of gestation and reports severe vomiting.

Correct Answer is D

Explanation

Choice A rationale
Frequent urination is a common symptom in early pregnancy due to increased blood flow to the woman’s kidneys. While it can be inconvenient, it is usually not a sign of a serious problem.
Choice B rationale
Periodic tingling of the fingers can be a symptom of carpal tunnel syndrome, which is common during pregnancy due to fluid retention causing pressure on the median nerve. While it can be uncomfortable, it is usually not a serious concern.
Choice C rationale
Back pain following intercourse can be a normal symptom of pregnancy due to hormonal changes and stretching of ligaments. It is usually not a cause for immediate concern.
Choice D rationale
Severe vomiting in early pregnancy could be a sign of hyperemesis gravidarum, a severe form of nausea and vomiting in pregnancy that can lead to dehydration and weight loss. This is a potentially serious condition that requires immediate medical attention.

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A nurse is performing a nutritional assessment for a client during their first prenatal visit at 12 weeks of gestation. Which of the following findings indicates that the client should be referred to a registered dietician?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

“A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa. Which of the following assessment findings requires immediate follow-up?”

Correct Answer is A

Explanation

A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?

Correct Answer is D

Explanation

A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following Questions should the nurse ask to assess the client’s dietary intake?

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