A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

A high-protein, low-carbohydrate diet may help keep your weight gain under control.

You are eating for two now, but breastfeeding can help you lose excess weight later.

Gaining 1 lb (0.5 kg) per week in this stage of pregnancy is important and expected.

You can exercise daily, so you don’t have to worry about weight gain.

Answer and Explanation

The Correct Answer is C

Choice A rationale

High-protein, low-carbohydrate diets are not recommended during pregnancy as they can lead to ketone production, which may harm fetal development. A balanced diet is crucial for maternal and fetal health.

Choice B rationale

Although breastfeeding can help with postpartum weight loss, it is not advisable to use pregnancy as a reason to overeat. Healthy weight gain during pregnancy is essential for fetal development.

Choice C rationale

Gaining 1 lb (0.5 kg) per week is recommended during the second trimester for a client with a normal BMI to ensure proper fetal growth and development.

Choice D rationale

Exercise is beneficial, but it cannot prevent all weight gain during pregnancy. Appropriate weight gain is necessary for fetal health and development.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Ballottement refers to the movement of the fetus felt by the provider when pushing on the cervix, causing the fetus to rise and then return to its original position. This is a probable sign of pregnancy.

Choice B rationale

Goodell’s sign refers to the softening of the cervix, which occurs due to increased vascularization during pregnancy. It is not related to the movement of the fetus felt by the provider.

Choice C rationale

Lightening refers to the sensation of the fetus moving down into the pelvis, usually occurring in the later stages of pregnancy. It is not related to the specific movement of the fetus felt by the provider.

Choice D rationale

Chadwick’s sign is the bluish discoloration of the cervix, vagina, and labia due to increased blood flow during pregnancy. It is not associated with the movement of the fetus felt by the provider.

A. Client at 6 weeks gestation reporting frequent urination. B. Client at 25 weeks gestation reporting menstrual-like cramps. C. Client at 30 weeks gestation reporting leg cramps while reclining. D. Client at 36 weeks gestation reporting a reddened, pruritic lower abdominal rash.

Correct Answer is B

Explanation

Choice A rationale

Frequent urination is common in early pregnancy due to hormonal changes and increased blood flow to the pelvic area. It is not typically a sign of an urgent complication requiring immediate attention.

Choice B rationale

Menstrual-like cramps at 25 weeks gestation could indicate preterm labor, which is a potential emergency. Prompt evaluation is necessary to ensure the health and safety of both the mother and the fetus.

Choice C rationale

Leg cramps while reclining are common in later stages of pregnancy due to changes in circulation and increased pressure on the veins. They are usually not a sign of an urgent complication.

Choice D rationale

A reddened, pruritic lower abdominal rash could indicate a skin condition or allergic reaction, but it is generally not an urgent complication during pregnancy unless accompanied by other severe symptoms.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?

Correct Answer is A

Explanation

The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

Correct Answer is B

Explanation

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

Which statement below accurately describes the role of the ductus arteriosus?

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .