During the initial prenatal visit, a nurse is educating a client.
Which statement from the client suggests that further clarification is needed?

I should increase my daily calcium intake to 1,500 milligrams.

I should consume about 2 liters of fluid each day.

I can consume a moderate amount of caffeine daily.

I should abstain from alcoholic beverages during my pregnancy.

Answer and Explanation

The Correct Answer is C

Choice C rationale

While moderate caffeine consumption is generally considered safe during pregnancy, it’s important to note that caffeine is a stimulant and can increase heart rate and blood pressure, which can potentially affect the baby. Some studies also suggest that high caffeine intake may increase the risk of preterm birth or low birth weight. Therefore, it’s often recommended that pregnant women limit their caffeine intake.

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Correct Answer is A

Explanation

Choice A rationale

A 38-year-old client who reports smoking one pack of cigarettes every day. Oral contraceptives are contraindicated in women who are over 35 years old and smoke. This is because the combination of oral contraceptives and smoking increases the risk of serious cardiovascular side effects, such as blood clots, stroke, or heart attack. These risks are even higher in women over 35 years old who smoke. Therefore, this client should not receive oral contraceptives due to the increased risk of these serious side effects.

Choice B rationale

A 28-year-old client who has a history of pelvic inflammatory disease. While pelvic inflammatory disease (PID) can lead to complications such as infertility and ectopic pregnancy, it is not a contraindication for the use of oral contraceptives. In fact, oral contraceptives can provide some protection against PID by causing changes in the cervix that make it more resistant to infection.

Choice C rationale

A 32-year-old client who has benign breast disease. Benign breast disease is not a contraindication for the use of oral contraceptives. While some studies have suggested a slightly increased risk of breast cancer in women who have used oral contraceptives, the risk appears to decrease over time once the contraceptives are stopped.

Choice D rationale

A 26-year-old client who has migraine headaches at the start of each menstrual cycle. While migraines can be a contraindication for the use of oral contraceptives, it generally applies to migraines with aura. Women who have migraines with aura have an increased risk of stroke when using oral contraceptives. However, for women who have migraines without aura, the benefits of using oral contraceptives usually outweigh the risks.

A. Broccoli. B. Apple juice. C. Peanut butter. D. Potatoes.

Correct Answer is C

Explanation

Choice C rationale

Phenylketonuria (PKU) is a metabolic disorder that results in decreased metabolism of the amino acid phenylalanine. High levels of phenylalanine can lead to intellectual disability and other serious health problems. Foods high in protein, such as peanut butter, contain high levels of phenylalanine and should be avoided by individuals with PKU34.

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During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing contraception options for four clients.Which client has a contraindication for receiving oral contraceptives?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

Correct Answer is C

Explanation

During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

A nurse is discussing contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her. What should the nurse respond?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and is at risk for placental abruption.Which of the following is the most common risk factor for abruption?

A nurse is providing care to a client in her first trimester of pregnancy.The client inquires if she can maintain her exercise regimen during pregnancy.What would be the nurse’s most appropriate response?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a patient scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.Which explanations about this test should the nurse provide to the patient?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation.The client inquires about the cause of her heartburn.Which of the following responses should the nurse make?

During the initial prenatal visit, a nurse is educating a client.
Which statement from the client suggests that further clarification is needed?