The student nurse is preparing a presentation on the nutritional needs of pregnant teens.
Which items should be included in her teaching plan? (Select all that Apply)

Do not gain more than 25 pounds in pregnancy due to body image issues.

Continue to take your prenatal vitamin every day.

Avoid alcohol, tobacco, and drugs.

Do not eat more than 12 ounces of low mercury fish each week.

Increase caloric intake by 100-200 a day.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale

Do not gain more than 25 pounds in pregnancy due to body image issues is incorrect. Gaining an appropriate amount of weight based on individual health and pregnancy needs is important, and it should not be restricted based on body image concerns.

Choice B rationale

Continue to take your prenatal vitamin every day is correct. Prenatal vitamins are essential in providing the necessary nutrients for both the mother and developing fetus, including folic acid, iron, and calcium.

Choice C rationale

Avoid alcohol, tobacco, and drugs is correct. These substances can have harmful effects on fetal development and should be avoided to ensure a healthy pregnancy.

Choice D rationale

Do not eat more than 12 ounces of low mercury fish each week is correct. While fish can be a good source of protein and omega-3 fatty acids, it's important to limit intake of fish that may contain higher levels of mercury to avoid potential harm to the fetus.

Choice E rationale

Increase caloric intake by 100-200 a day is correct. Pregnant teens need additional calories to support their own growth as well as that of the fetus, but the increase should be moderate and balanced with nutritional needs. .

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Correct Answer is B

Explanation

Choice A rationale

At 16 weeks, the fundal height is typically below the umbilicus. This location is more indicative of a fetus at around 20 weeks.

Choice B rationale

At 20 weeks, the fundal height is usually at the level of the umbilicus, indicating this is the correct gestational age.

Choice C rationale

At 24 weeks, the fundal height is usually above the umbilicus, suggesting a more advanced gestation than the picture indicates.

Choice D rationale

At 28 weeks, the fundal height is significantly above the umbilicus, making this option incorrect for the given scenario.

A. Administer Rubella vaccine IM. B. Instruct client on signs and symptoms of preterm labor. C. Administer Rhogam IM. D. Obtain a clean catch urine culture. E. Order a 3-hour diagnostic glucose tolerance test. F. Administer a blood transfusion.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A rationale

Rubella vaccination is contraindicated during pregnancy due to the risk of congenital rubella syndrome in the fetus. It should be administered postpartum if the client is non-immune.

Choice B rationale

Preterm labor is a concern at 28 weeks' gestation. Educating the client on signs and symptoms can help in early detection and management, potentially improving outcomes for both mother and baby.

Choice C rationale

Rh-negative mothers with a negative antibody screen should receive Rhogam at 28 weeks to prevent Rh sensitization. This is crucial to avoid hemolytic disease of the newborn in future pregnancies.

Choice D rationale

A positive urine analysis for leukocytes indicates a possible urinary tract infection. A clean catch urine culture is needed to identify the causative organism and guide appropriate antibiotic therapy.

Choice E rationale

The glucose challenge test result of 120 at 26 weeks is within normal limits, but a 3-hour diagnostic glucose tolerance test may be ordered if there's a high index of suspicion for gestational diabetes or other risk factors.

Choice F rationale

A blood transfusion is not indicated as the hemoglobin/hematocrit levels (11.0 mg/dl and 35%) are within acceptable limits for pregnancy.

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The student nurse is preparing a presentation on the nutritional needs of pregnant teens.Which items should be included in her teaching plan? (Select all that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?

Correct Answer is B

Explanation

Correct Answer is ["B","C","D","E"]

Explanation

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The student nurse is preparing a presentation on the nutritional needs of pregnant teens.
Which items should be included in her teaching plan? (Select all that Apply)