A nurse is reinforcing nutritional teaching with a client who is at 8 weeks of gestation.
Which of the following statements should the nurse include?
"You should increase your daily calorie intake by 750 calories.".
"You should increase your folic acid intake during your pregnancy.".
"You should limit your iron intake during your first trimester.".
"You should stop taking your prenatal vitamin if you experience nausea.".
The Correct Answer is B
The nurse should include in their teaching that the client should increase their folic acid intake during pregnancy.
Choice A is incorrect because a pregnant woman at 8 weeks of gestation does not need to increase her daily calorie intake by 750 calories.
Choice C is incorrect because a pregnant woman should not limit her iron intake during her first trimester.
Choice D is incorrect because a pregnant woman should not stop taking her prenatal vitamin if she experiences nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is a. Positive Moro reflex.
Choice A reason:
Positive Moro reflex: This reflex should disappear by 6 months of age. Its presence at 9 months indicates potential neurological issues.
Choice B reason:
Negative Doll’s eye reflex: This reflex, indicating brainstem function, should be positive in infants. A negative result suggests severe brainstem dysfunction
Choice C reason:
Positive Babinski reflex: This reflex is normal up to 2 years of age. It indicates normal neurological development in infants.
Choice D reason:
Negative Crawl reflex: Crawling typically develops between 6-10 months. A negative crawl reflex at 9 months could indicate developmental delays
Correct Answer is A
Explanation
A positive urine hCG test is a priority assessment to assess for a possible pregnancy.
The human chorionic gonadotropin (hCG) hormone is produced by the placenta after implantation and can be detected in the urine of pregnant women.
A urine hCG test is a common method used to confirm pregnancy.
Choice B is not an answer because changes in uterine size and shape occur later in pregnancy and are not a priority assessment for early pregnancy detection.
Choice C is not an answer because a fetal heartbeat can usually be detected at around 6-7 weeks of pregnancy and is not a priority assessment for early pregnancy detection.
Choice D is not an answer because Chadwick’s sign, which refers to the bluish discoloration of the cervix, vagina, and vulva due to increased blood flow, occurs later in pregnancy and is not a priority assessment for early pregnancy detection.
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