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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Hypothyroidism during pregnancy is associated with increased risks of metabolic disorders, including lipid and glucose metabolism disorders, which can affect both the mother and fetus.
Choice B rationale
hCG levels do not typically plateau in the first trimester; they continue to rise and peak around the 10th week of pregnancy before starting to decline.
Choice C rationale
Thyroid replacement dosing usually needs adjustment during pregnancy to meet the increased thyroid hormone requirements due to physiological changes and fetal development needs.
Choice D rationale
Antenatal fetal surveillance is generally required in the third trimester for hypothyroid pregnant clients to monitor fetal well-being, not during the first trimester.
Correct Answer is A
Explanation
Choice A rationale
Abruptio placentae involves the premature separation of the placenta from the uterine wall, causing continuous abdominal pain and vaginal bleeding. This condition is a medical emergency that can compromise fetal and maternal health.
Choice B rationale
Premature rupture of membranes is characterized by the leaking or gushing of amniotic fluid, not continuous abdominal pain and vaginal bleeding. It usually doesn't present with severe pain unless there are complications like infection.
Choice C rationale
Placenta previa is where the placenta covers the cervical opening, causing painless vaginal bleeding. It typically does not involve continuous abdominal pain, distinguishing it from abruptio placentae.
Choice D rationale
Prolapsed cord occurs when the umbilical cord slips ahead of the baby during delivery, which is a different obstetric emergency. It does not present with continuous abdominal pain and vaginal bleeding.
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