A nurse is reinforcing teaching about expected gestational changes with 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 use only nonprescription medications while pregnant.”.
"I am going to reduce my stress level.”.
"I should monitor my weight gain during the following months.”.
"I will consult with my doctor before using home remedies for nausea.”.
The Correct Answer is A
Choice A rationale
Nonprescription medications can still have adverse effects on pregnancy and should be taken only with a healthcare provider's approval. This indicates a need for further teaching about safe medication use during pregnancy.
Choice B rationale
Reducing stress is beneficial during pregnancy and shows an understanding of healthy gestational changes. Stress management can positively impact maternal and fetal health.
Choice C rationale
Monitoring weight gain during pregnancy is important for maternal and fetal health. Appropriate weight gain supports healthy development and reduces the risk of complications.
Choice D rationale
Consulting with a doctor before using home remedies for nausea is a good practice. It ensures that the remedies are safe and appropriate for use during pregnancy.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
2 units is insufficient to bring down a blood sugar level of 152 mg/dL adequately. According to the sliding scale, 2 units typically lower blood sugar by 50-60 mg/dL, which might not be enough for this level.
Choice B rationale
3 units might reduce blood sugar by approximately 75-90 mg/dL. However, this reduction may not be adequate to bring the blood sugar level within the target range, depending on individual response to insulin.
Choice C rationale
4 units of insulin are suitable for a blood sugar level of 152 mg/dL. Generally, 1 unit of insulin lowers blood sugar by 30-50 mg/dL. Administering 4 units should ideally lower the blood sugar level to the desired range.
Choice D rationale
5 units of insulin could result in an excessive drop in blood sugar levels. It could reduce the blood sugar level by 150-200 mg/dL, which might risk hypoglycemia, making it an unsuitable choice for a blood sugar level of 152 mg/dL.
Correct Answer is B
Explanation
Choice A rationale
Magnesium sulfate is used to manage preeclampsia and prevent seizures, not for treating postpartum hemorrhage. It does not address the causes of excessive vaginal bleeding post-birth.
Choice B rationale
Tranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
Choice C rationale
Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor, not for treating postpartum hemorrhage. It has no role in managing excessive bleeding after birth.
Choice D rationale
Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles. It is not used to manage postpartum hemorrhage and excessive vaginal bleeding.
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