Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?

A. "I need to be immunized against syphilis because there is no cure.”.

"I can change the cat litter as long as I wear gloves.”.

"The best way to prevent CMV is by thorough and consistent hand hygiene.”.

"If my RPR is low, I will need a rubella vaccine at delivery.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.

Choice B rationale

Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.

Choice C rationale

The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.

Choice D rationale

RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.

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Correct Answer is A

Explanation

Choice A rationale

Obtaining the client's personal and family medical history is essential during the initial prenatal visit. This history helps identify any genetic disorders or chronic conditions that might affect the pregnancy. It also provides insight into the client's overall health and any potential risk factors.

Choice B rationale

Information about prior pregnancies is important but not the first priority. Prior pregnancy information can provide insights into previous complications, but a comprehensive medical history should come first.

Choice C rationale

Checking the client's urine with a reagent strip is not the primary action during an initial visit. Urine tests are useful for detecting infections and certain conditions, but they come after a thorough history has been obtained.

Choice D rationale

Scheduling the client for prenatal laboratory testing is necessary, but it follows the initial assessment and history-taking. Laboratory tests help confirm the pregnancy and assess overall health but are not the first step.

Choice E rationale

Discussing chorionic villus sampling (CVS) is premature at this stage. CVS is a prenatal test conducted around 10-13 weeks for detecting chromosomal abnormalities, but it's not relevant during the initial visit without understanding the client's medical history.

A. It is important that we refer you to a nutritionist to discuss your eating disorder. B. Let's discuss how we can ensure adequate caloric intake and proper nutrients during your pregnancy. C. Your newborn is at high risk for developing complications. D. It is important that you incorporate meat products into your diet for protein during your pregnancy.

Correct Answer is B

Explanation

Choice A rationale

A plant-based diet is not an eating disorder. It is a lifestyle choice, and many people maintain good health with such diets, especially with proper nutritional planning.

Choice B rationale

Proper counseling can help ensure that the pregnant client receives adequate calories and nutrients, which is crucial for the health of both the mother and the developing baby. A balanced diet can be achieved with plant-based foods.

Choice C rationale

While certain nutrients may be more challenging to obtain from a plant-based diet, it doesn't inherently put the newborn at high risk for complications if the diet is well-planned and balanced.

Choice D rationale

It is possible to obtain all necessary proteins from plant-based sources. Incorporating a variety of plant proteins can provide the necessary amino acids for both the mother and developing baby.

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Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client during an initial prenatal visit.The client's last menstrual period was 18 weeks ago.Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A pregnant client tells the nurse that she only eats a plant-based diet.How should the nurse counsel this client?

Correct Answer is B

Explanation

A client reports that she and her husband are considering starting a family within the next year.The nurse should advise the client to increase her intake of folic acid:

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A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

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A pregnant client asks about the functions of the placenta.Which of the following items should the nurse NOT include in the teaching plan?

Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?