A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?
"I will monitor my weight gain during the remaining months."
"I will use only nonprescription medications while pregnant."
"I will tell my doctor before using home remedies for nausea."
will reduce my stress level."
The Correct Answer is B
A. "I will monitor my weight gain during the remaining months."
Correct: Monitoring weight gain during pregnancy is an appropriate action as it helps to ensure the baby's growth and overall health.
B. "I will use only nonprescription medications while pregnant."
Incorrect: This statement indicates a need for further teaching. Nonprescription medications may not be safe during pregnancy, as some overthecounter drugs can potentially harm the
fetus. It's essential for pregnant women to consult their healthcare provider before taking any medications.
C. "I will tell my doctor before using home remedies for nausea."
Correct: This statement shows the client's understanding that it's important to consult with their healthcare provider before using any home remedies during pregnancy, as some
remedies may not be safe for the developing fetus.
D. "I will reduce my stress level."
Correct: Managing stress during pregnancy is beneficial for both the mother and the baby. It indicates a good understanding of selfcare during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: At 7 cm dilation, the client is in active labor, and assisting her into a more comfortable position may not be appropriate at this stage. It is essential to observe for signs of impending birth and assess the progress of labor.
Choice B: Feeling the urge to push may indicate that the baby is descending and the cervix is fully dilated. The nurse should immediately observe the perineum for signs of crowning (when the baby's head starts to appear at the vaginal opening) to prepare for delivery.
Choice C: If the client is feeling the urge to push and the cervix is fully dilated, panting or blowing through contractions will not be effective. It is important to allow the client to follow her body's natural urges to push.
Choice D: While emptying the bladder is generally recommended during labor to provide more room for the baby to descend, the client's current urge to push suggests that the baby is likely in a lower position, and it might not be safe or feasible to move the client to the bathroom.
Correct Answer is ["B","C","D"]
Explanation
The correct answer is B, C, and D.
Choice A: Increase the oxytocin infusion to 13 mu/min
Increasing the oxytocin infusion is not indicated in this scenario. Oxytocin is used to induce or augment labor, but if the fetal heart rate tracing is abnormal (Category 3), increasing oxytocin could exacerbate fetal distress. The priority is to stabilize the fetal condition before considering increasing oxytocin.
Choice B: Initiate a bolus of primary IV fluids
Initiating a bolus of primary IV fluids is appropriate. This action helps improve placental perfusion and maternal hydration, which can be beneficial in response to abnormal fetal heart rate tracings. Adequate hydration can enhance uteroplacental blood flow and improve fetal oxygenation.
Choice C: Place the client in a sidelying position
Placing the client in a sidelying position is recommended. This position can improve uteroplacental perfusion and fetal oxygenation, especially if there are signs of fetal distress. It helps to alleviate pressure on the inferior vena cava, enhancing blood flow to the placenta.
Choice D: Apply oxygen at 10 L/min via a venturi mask
Applying oxygen at 10 L/min via a venturi mask is indicated for improving fetal oxygenation in cases of abnormal fetal heart rate patterns. This intervention can help increase the oxygen available to the fetus, which is crucial in managing fetal distress.
Choice E: Perform a sterile vaginal examination (SVE)
Performing a sterile vaginal examination (SVE) is not indicated based on the provided assessment findings. While SVE is useful for assessing cervical dilation and labor progression, it is not a priority in this situation where the main concern is fetal well-being. Unnecessary SVEs can increase the risk of infection.
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