The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Uses the pregnancy food pyramid when making meal choices.

Recognizes the dangers of alcohol use during pregnancy.

Achieves the desired weight gain for each trimester.

Prepares a diet history for use in analyzing her own diet.

Answer and Explanation

The Correct Answer is B

The priority goal for the practical nurse (PN) in the antepartum clinic is to ensure that the client recognizes the dangers of alcohol use during pregnancy. Alcohol consumption during pregnancy can lead to fetal alcohol syndrome and other developmental disorders. It is important for the client to understand the risks associated with alcohol use and to avoid it during pregnancy. The other goals are also important but recognizing the dangers of alcohol use takes priority.

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Correct Answer is D

Explanation

Fetal heart rate (FHR) is one of the essential indicators of fetal well-being during labor. A fall in FHR following each contraction is known as recurrent deceleration and can be an indication of fetal distress. In this case, the PN should first reposition the client laterally, as this may help to alleviate compression of the umbilical cord and improve fetal oxygenation.
A. Administering oxygen at 10 L/face mask may be necessary, but it is not the first intervention to be implemented in this scenario.
B. Discontinuing oxytocin infusion may be necessary, but it is not the first intervention to be implemented in this scenario.
C. Observing perineum for cord prolapse is not necessary in this scenario.

A. The mother has changed 3 wet diapers. B. The infant has not emptied a 3 oz formula bottle. C. The infant has not passed meconium stool. D. The mother has used the bulb syringe.

Correct Answer is C

Explanation

Passage of meconium stool is a normal and expected event in the first 24-48 hours of life. The absence of meconium stool can be indicative of bowel obstruction or other underlying medical conditions, and requires further investigation and evaluation by the healthcare team. The other options are important pieces of information, but they do not carry the same level of urgency as the absence of meconium stool.

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The practical nurse (PN) notes several nutritional goals in a standardized plan of care used in the antepartum clinic. Which client goal takes priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is monitoring a client who was admitted for induction of labor. As the client's labor progresses to the second stage, the fetal heart rate falls to 100 beats/minute following each contraction. Which intervention should the PN implement first?

Correct Answer is D

Explanation

Which information is most important for the practical nurse (PN) to relay to the registered nurse (RN) concerning a 24-hour-old infant?

Correct Answer is C

Explanation

When preparing to assist in a scoliosis screening clinic, the practical nurse (PN) should identify which age group will be included in the examinations?

A 3-month-old with bronchiolitis is brought to the clinic experiencing irritability and poor oral intake. Which finding should alert the practical nurse (PN) that the child is in acute respiratory distress?

An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The practical nurse (PN) notes that in the evening this client often becomes restless, confused, and agitated. Which intervention should the PN implement?

Another person tells the practical nurse (PN) that her 7-year-old child frequently wets the bed at night. Which information should the PN provide?

An adolescent female client with acute leukemia reports that she is experiencing an unusually heavy menstrual ﬂow. Which laboratory data should the practical nurse (PN) review in response to this statement?

The practical nurse (PN) is contributing to the plan of care for a toddler with failure to thrive due to inadequate caloric intake. Which observation should the PN monitor to best help develop interventions?

The client tells the practical nurse (PN), "I have been applying triple antibiotic ointment to my athlete's foot for the past two days, but it still itches. How should the PN respond?