A nurse is teaching a client who is 8 weeks of gestation about healthy lifestyle practices during pregnancy. Which of the following client statements indicate an understanding of the teaching?
I will start a ketogenic low-carbohydrate high-fat diet.
I will drink at least 6 glasses of water per day.
I will increase my calorie intake by 1,000 calories per day.
I will take a prenatal vitamin daily.
The Correct Answer is D
A. A ketogenic diet is not recommended during pregnancy, as carbohydrates are essential for fetal growth and energy. Adequate, balanced nutrition is key during pregnancy.
B. While water intake is important, pregnant clients are advised to drink 8–10 glasses of water daily to support increased blood volume and amniotic fluid. Six glasses would be insufficient.
C. An additional 1,000 calories per day is excessive for early pregnancy. During the first trimester, the calorie increase is minimal (approximately 150–200 calories), with more significant increases later in pregnancy.
D. Taking a prenatal vitamin daily ensures adequate intake of essential nutrients like folic acid and iron, which are critical for preventing neural tube defects and supporting maternal health.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Parity refers to the number of pregnancies carried to at least 20 weeks, not the total number of pregnancies. This client has had only one pregnancy (the twin birth) that reached this threshold.
B. Five refers to the total pregnancies, including those ending in miscarriage or abortion, which is not relevant to parity calculation.
C. Three does not reflect parity correctly since only one pregnancy was carried beyond 20 weeks.
Parity is documented as 1 because the twin pregnancy was carried to 36 weeks, while the others ended before 20 weeks. Twins or multiples count as one event for parity purposes.
Correct Answer is A
Explanation
A. Sperm production is temperature-sensitive, and the testes require a slightly cooler environment than the rest of the body. Increased warmth, such as from tight clothing, prolonged sitting, or heat exposure, can impair spermatogenesis.
B. The size of the penis and testes is not directly correlated with sperm production. The functionality of the testes, not their size, determines sperm output.
C. Infrequent sexual intercourse can affect fertility by decreasing opportunities for conception but does not directly decrease sperm production.
D. Circumcision status does not affect sperm production, as it primarily pertains to hygiene and the prevention of certain infections.
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