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 ["B","C","E"]
Explanation
Choice A rationale: Keeping the newborn in the center of a large crib is not a specific calming strategy and may not offer the comfort and security that the baby needs.
Choice B rationale: Taking the newborn for a ride in the car can be a calming strategy for some babies. The gentle motion and humming sound of the car can help soothe the baby.
Choice C rationale: Carrying the newborn in a front or backpack can provide comfort and security to the baby. The closeness to the parent's body and the rhythmic movement can help calm the baby.
Choice D rationale: Allowing the newborn to continue crying until she falls asleep is not a recommended strategy. Responding to the baby's cries and providing comfort and soothing is essential for the baby's emotional well-being.
Choice E rationale: Swaddling the newborn in a receiving blanket can help mimic the feeling of being in the womb, providing comfort and security to the baby. It can also prevent the startle reflex and promote better sleep.
Correct Answer is C
Explanation
Choice A rationale: A gynaecoid-shaped pelvis is considered the most favorable for childbirth and is not a contributing cause of difficult, prolonged labor.
Choice B rationale: The fetal lie refers to the orientation of the baby's spine in relation to the mother's spine. A longitudinal lie (baby's spine parallel to the mother's spine) is the typical and preferred position for birth and is not a cause of difficult, prolonged labor.
Choice C rationale: A persistent occiput posterior (OP) position, where the baby's head faces the mother's abdomen instead of her back, is a known contributing factor to difficult and prolonged labor. The baby's position in the birth canal can affect the progress and ease of labor.
Choice D rationale: Fetal attitude refers to the position of the baby's body parts in relation to each other. General flexion, where the baby's head is flexed forward and the limbs are flexed, is the normal attitude for birth and does not contribute to difficult, prolonged labor.
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