A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports feeling overwhelmed lately. The client asks the nurse, "Can't have just one glass of wine here and there?" Which of the following responses should the nurse make?
As long as you don’t drink in the first trimester, your baby should be okay.
Why do you want to place your baby's well-being at risk?
We recommend no alcohol during pregnancy for the best outcomes.
Drinking even small amounts of alcohol can cause your baby's heart to stop beating.
The Correct Answer is C
A. While alcohol consumption in early pregnancy poses significant risks, it is not safe to drink alcohol at any point during pregnancy. There is no safe amount of alcohol that can be consumed without risk to the developing fetus.
B. Although the sentiment is correct in discouraging alcohol use, this response could be seen as judgmental and may not foster a supportive environment for the client.
C. We recommend no alcohol during pregnancy for the best outcomes. This is the correct and evidence-based response. The safest choice for both maternal and fetal health is to avoid alcohol entirely during pregnancy.
D. While alcohol consumption during pregnancy can lead to various issues like fetal alcohol syndrome, it is unlikely to directly cause the baby’s heart to stop beating.
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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 D
Explanation
A. Drinking extra milk during pregnancy does not directly impact milk production. The body produces milk based on demand, not by consuming additional milk.
B. While formula supplementation may be necessary in some cases, it does not directly address the mother's ability to produce sufficient milk. It is important to focus on breastfeeding techniques and frequency to support milk production.
C. Breast size is not a determining factor for successful breastfeeding. Exercises will not increase breast size or enhance milk production significantly.
D. Milk production occurs in the mammary glands, specifically in the ducts and lobules, which are not dependent on breast size. Even women with smaller breasts can produce enough milk to exclusively breastfeed, as long as the demand and milk removal are properly managed.
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