A patient who is 34 weeks pregnant attends the antepartal clinic and is diagnosed with mild pregnancy-induced hypertension (PIH). The decision is made to treat the patient at home.
Which instruction would be most appropriate to give to the patient?

Try to limit your intake of spicy foods.

Limit your intake of liquids to about a quart a day.

Be sure to urinate at least every two hours.

Rest on your side as much as possible.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Rest on your side as much as possible. This is because resting on the side can improve blood flow to the placenta and lower blood pressure. It can also reduce the risk of supine hypotensive syndrome, which occurs when the weight of the uterus compresses the inferior vena cava and reduces venous return.

Choice A is wrong because spicy foods have no effect on blood pressure or pregnancy outcomes. Choice B is wrong because limiting fluid intake can lead to dehydration and increase blood viscosity, which can worsen hypertension. Choice C is wrong because urinating frequently does not lower blood pressure or prevent complications of pregnancy-induced hypertension.

Pregnancy-induced hypertension (PIH) is a condition that causes high blood pressure during pregnancy. It can lead to serious problems for both the mother and the baby, such as pre-eclampsia, eclampsia, placental abruption, fetal growth restriction, and stillbirth.

Women with PIH should follow their doctor’s advice on medication, diet, exercise, and monitoring. They should also report any symptoms of pre-eclampsia, such as severe headache, blurred vision, abdominal pain, or swelling.

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Correct Answer is C

Explanation

This is because urine toxicology studies can detect the presence of cocaine and other drugs in the body of the pregnant woman and her unborn baby.Cocaine use during pregnancy can have serious consequences for both the mother and the baby, such as high blood pressure, premature labor, low birth weight, and developmental problems.

Choice A is wrong because urine estriol levels are used to measure the activity of the placenta and the fetal adrenal glands.They are not related to cocaine use.

Choice B is wrong because serum bilirubin levels are used to assess the liver function and the risk of jaundice in newborns.They are not related to cocaine use.

Choice D is wrong because lecithin-sphingomyelin ratio is used to evaluate the fetal lung maturity and the risk of respiratory distress syndrome.It is not related to cocaine use.

A. A symptom of an endocrine disorder. B. In response to the need for chromosomal determination of gender identity. C. Related to the influence of maternal hormones. D. A symptom of an abnormal proliferation of mammary alveoli.

Correct Answer is C

Explanation

The correct answer is choice C: Related to the influence of maternal hormones.This is because breast milk contains many hormones that pass into it from the mother’s body, such as prolactin, thyroid hormones, and estrogen.

These hormones can affect the baby’s growth and development, and sometimes cause temporary breast enlargement and milk secretion in newborns of both sexes.This is called neonatal galactorrhea or “witch’s milk” and it is harmless and usually resolves within a few weeks

Choice A is wrong because neonatal galactorrhea is not a symptom of an endocrine disorder.It is a normal physiological response to maternal hormones that cross the placenta during pregnancy and are present in breast milk

Choice B is wrong because neonatal galactorrhea is not related to the need for chromosomal determination of gender identity.Gender identity is determined by a complex interaction of genetic, hormonal, and environmental factors, and it is not influenced by breast milk production in newborns

Choice D is wrong because neonatal galactorrhea is not a symptom of an abnormal proliferation of mammary alveoli.

Mammary alveoli are the milk-producing cells in the breast, and they are stimulated by prolactin to secrete milk.Neonatal galactorrhea does not indicate any abnormality in the structure or function of the mammary glands

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A patient who is 34 weeks pregnant attends the antepartal clinic and is diagnosed with mild pregnancy-induced hypertension (PIH). The decision is made to treat the patient at home. Which instruction would be most appropriate to give to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When a client reports using cocaine during her current pregnancy, which laboratory study should a nurse anticipate?

Correct Answer is C

Explanation

The mother of a 4-hour-old newborn reports to a nurse, “My son is producing breast milk.” The nurse’s response should be based on which understanding about newborn physiology? This is:.

Correct Answer is C

Explanation

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A patient who is 34 weeks pregnant attends the antepartal clinic and is diagnosed with mild pregnancy-induced hypertension (PIH). The decision is made to treat the patient at home.
Which instruction would be most appropriate to give to the patient?