A pregnant woman experiencing nausea and vomiting should:.
Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning.
Eat small, frequent meals (every 2 to 3 hours).
Increase her intake of high-fat foods to keep the stomach full and coated.
Limit fluid intake throughout the day.
The Correct Answer is B
Choice A rationale:
Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. While staying hydrated is important, consuming a fat-free carbohydrate before getting out of bed may not be sufficient to alleviate nausea and vomiting. Eating small, frequent meals throughout the day, as suggested in choice B, can help stabilize blood sugar levels and prevent the stomach from becoming too empty, which can contribute to nausea.
Choice B rationale:
Eat small, frequent meals (every 2 to 3 hours). Eating small, frequent meals can help manage nausea and vomiting during pregnancy. Having something in the stomach at all times can prevent the stomach from becoming completely empty, reducing the likelihood of nausea. Additionally, choosing easily digestible foods can further alleviate symptoms.
Choice C rationale:
Increase her intake of high-fat foods to keep the stomach full and coated. Increasing intake of high-fat foods is not advisable, as they can be harder to digest and may exacerbate nausea. The focus should be on consuming small, low-fat, easily digestible meals throughout the day.
Choice D rationale:
Limit fluid intake throughout the day. Limiting fluid intake is not recommended, especially during pregnancy. It's important for pregnant women to stay hydrated. Dehydration can worsen nausea and may lead to other complications. Encouraging adequate fluid intake between meals can also help manage nausea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Ask her to turn to one side. The supine position during labor can compress the vena cava, reducing blood flow to the uterus and potentially compromising fetal oxygenation. Turning the woman to her side, especially the left side, can relieve this pressure and improve blood flow to the uterus, ensuring adequate oxygen supply to the fetus. This position change is crucial for the well-being of both the mother and the baby during labor.
Choice B rationale:
Elevate her feet and legs. Elevating the woman's feet and legs might not be effective in relieving the pressure on the vena cava, as it does not change the orientation of the uterus in relation to the vena cava. Turning the woman to her side is a more appropriate and effective action to improve blood flow to the uterus and fetus.
Choice C rationale:
Take her blood pressure. While monitoring the woman's blood pressure is essential during labor, it is not the most appropriate action in this situation. The priority is to relieve the compression of the vena cava by changing the woman's position.
Choice D rationale:
Determine whether fetal tachycardia is present. Monitoring the fetal heart rate is crucial during labor, but the woman's position should be the immediate concern if she is lying in the supine position. Changing her position to relieve the vena cava compression takes precedence to ensure adequate oxygenation to the fetus.
Correct Answer is D
Explanation
Choice A rationale:
Do not administer pancreatic enzymes if the child is receiving antibiotics. Rationale: There is no specific contraindication to administering pancreatic enzymes while the child is receiving antibiotics. Pancreatic enzymes are essential for the digestion and absorption of nutrients in children with cystic fibrosis, and they should be continued even if the child is on antibiotics.
Choice B rationale:
Decrease dose of pancreatic enzymes if the child is having frequent, bulky stools. Rationale: Bulky, foul-smelling stools are common in cystic fibrosis due to malabsorption of nutrients. Pancreatic enzyme replacement therapy is crucial to aid in the digestion of fats and proteins. If the child is experiencing frequent, bulky stools, it may indicate inadequate enzyme dosage, and the healthcare provider should be consulted to adjust the dosage or formulation of pancreatic enzymes. Choice
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