A healthy 17-year-old patient was informed that she is 8 weeks pregnant. The nurse practitioner should instruct the adolescent to:
withdraw from the track team.
limit sexual intercourse to twice a month.
avoid eating undercooked steaks.
limit her weight gain to 15 pounds.
The Correct Answer is C
Rationale:
A. Withdrawal from physical activity such as track is not necessary for a healthy, uncomplicated pregnancy; regular exercise is encouraged.
B. Limiting sexual intercourse is not routinely required in a normal pregnancy unless there are complications.
C. Avoiding undercooked steaks and other undercooked meats is important to reduce the risk of foodborne infections, particularly Toxoplasma gondii and other pathogens, which can be harmful to the developing fetus.
D. Weight gain should not be limited to 15 pounds; recommendations vary based on pre-pregnancy BMI, and restricting weight gain unnecessarily may be harmful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Abdominal striae are a probable or later sign of pregnancy and are not useful for early suspicion.
B. A positive pregnancy test is a positive sign, confirming the presence of human chorionic gonadotropin (hCG), not merely a presumptive indication.
C. Breast tenderness is a presumptive sign of pregnancy because it is based on subjective symptoms reported by the adolescent and may be caused by other conditions as well.
D. Goodell’s sign (softening of the cervix) is considered a probable sign of pregnancy, as it is an objective finding but not definitive.
Correct Answer is B
Explanation
Rationale:
A. Increased weight gain is not typical of type 1 diabetes; lethargy and nocturia alone are nonspecific.
B. A persistent vaginal yeast infection, weight loss, and urinary frequency are classic signs of type 1 diabetes mellitus in young children. Hyperglycemia provides a favorable environment for yeast infections, causes osmotic diuresis (frequent urination), and leads to unintentional weight loss despite normal or increased appetite.
C. Increased activity and frequent stools are not typical presenting features of type 1 diabetes.
D. Weight gain is not consistent with type 1 diabetes; increased thirst and nocturia may occur, but the weight loss seen in option B is more indicative.
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