A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?
"Go to the emergency room and your provider will meet you the
"Come to the office and we will check things out."
"What else have you been eating?"
"This is expected because of the way iron is broken down during digestion."
The Correct Answer is D
Choice A rationale:
Going to the emergency room for black stools without abdominal pain or cramping is not warranted in this situation.
Choice B rationale:
Having the client come to the office to check things out may not be necessary since black stools can be an expected side effect of iron supplements and do not necessarily indicate a problem.
Choice C rationale:
Asking about the client's diet is a valid question, but the black stools are likely due to iron supplements' effects and not related to dietary choices.
Choice D rationale:
Black stools are a known side effect of iron supplements. When iron is broken down during digestion, it can cause the stools to appear black or dark. As the client has no other concerning symptoms like abdominal pain or cramping, this response by the nurse reassures the client that the finding is expected and not a cause for alarm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: This statement is not accurate, as startling in response to a loud noise does not necessarily indicate that the baby can hear normally. Startling can be a normal reflex response and may not accurately assess the baby's hearing ability.
Choice B rationale: While it is true that many forms of hearing loss are not inherited, the client's concern about her family history of deafness is valid. It is essential to address her concerns and provide appropriate information about the hearing screening.
Choice C rationale: Routine hearing screenings are typically performed on newborns to identify any potential hearing problems early on. Early detection and intervention for hearing loss can lead to better outcomes for the baby's language development and overall well-being. By reassuring the client about the hearing screening, the nurse addresses her concerns and provides information about the process.
Choice D rationale: While visual cues and responses are important for the baby's communication and bonding, they do not provide a definitive assessment of the baby's hearing ability. Hearing screening is a more reliable method to detect potential hearing problems in newborns.
Correct Answer is C
Explanation
Choice A rationale: The gender of the fetus is not determined through amniocentesis. Fetal gender determination can be achieved through ultrasound or other specialized genetic tests if needed.
Choice B rationale: While amniocentesis can provide information about certain chromosomal abnormalities and genetic conditions, it is not the primary procedure used to detect anatomic abnormalities. Detailed ultrasound and other specialized imaging techniques are used for this purpose.
Choice C rationale: Amniocentesis is a prenatal diagnostic procedure in which a small amount of amniotic fluid is withdrawn from the uterus. The amniotic fluid contains fetal cells and biochemical substances that can provide valuable information about the fetus's health and development. One of the essential pieces of information obtained from amniocentesis is the maturity of the lungs. This is crucial in preterm labor to assess whether the lungs are mature enough to support breathing if the baby is born prematurely.
Choice D rationale: The gestational age is determined through other methods, such as ultrasound measurements and the last menstrual period. Amniocentesis is not primarily used to determine the weeks of gestation.
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