A nurse is teaching a client who is at 20 weeks of gestation about how to manage heartburn. Which of the following instructions should the nurse include?
"Lie down for 30 min after meals."
"Eat a high-fat snack at bedtime."
"Sip carbonated beverages throughout the day."
"Drink hot herbal tea to relieve symptoms."
The Correct Answer is C
A. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.
B. High-fat foods delay gastric emptying, worsening heartburn.
C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.
D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hold a vibrating tuning fork 1 to 2 cm (0.4 to 0.8 in) from the child's ears – This describes the Rinne test, not the Weber test.
B. Place a vibrating tuning fork on the top of the child's head – Correct. The Weber test assesses hearing loss by placing a tuning fork on the midline of the skull to determine if sound is heard equally in both ears.
C. Whisper a statement to the child from 0.6 m (2 feet) away – This describes the whisper test, not the Weber test.
D. Apply a pair of headphones securely over the child's ears – Not part of the Weber test; this is used for audiometry testing.
Correct Answer is A
Explanation
A. Irritability – This is the expected finding. Newborns exposed to cocaine in utero often exhibit irritability, hypertonia, tremors, and a high-pitched cry due to withdrawal symptoms and central nervous system excitability.
B. Increased head circumference – Cocaine use is associated with intrauterine growth restriction (IUGR), leading to smaller head circumferences rather than increased head size.
C. Hypotonicity – Cocaine-exposed newborns typically exhibit hypertonicity (increased muscle tone) rather than hypotonia.
D. Decreased auditory startle response – These newborns usually have an exaggerated Moro (startle) reflex rather than a decreased response.
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