A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should Instruct the client to increase her daily intake of which of the following nutrients?
Calcium
Vitamin E
Iron
Vitamin D
The Correct Answer is C
The correct answer is C.
A. Calcium: While calcium is important for bone health, it is not specifically increased during early pregnancy. Adequate calcium intake is important throughout pregnancy, but the focus on increased intake typically occurs later in pregnancy to support fetal bone development.
B. Vitamin E: Vitamin E is important for overall health, but there is not a specific emphasis on increasing vitamin E intake in the early stages of pregnancy. It is generally included as part of a balanced diet.
C. Iron: This is the correct answer. Iron needs increase during pregnancy to support the increased blood volume and prevent iron-deficiency anemia. Adequate iron is crucial for the transport of oxygen to the developing fetus.
D. Vitamin D: While vitamin D is important for bone health and immune function, its increase is not specific to the early stages of pregnancy. Adequate vitamin D intake is essential throughout pregnancy, but it is not singled out as needing a significant increase at 8 weeks of gestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Prepare equipment needed for newborn resuscitation.
A. Preparing equipment needed for newborn resuscitation is the correct action.
Meconium-stained amniotic fluid can increase the risk of meconium aspiration syndrome in the newborn. While the fetal heart rate is reassuring, being prepared for potential newborn resuscitation is prudent given the meconium staining.
B. Performing endotracheal suctioning as soon as the fetal head is delivered is not the current standard of care. The American Academy of Pediatrics (AAP) no longer recommends routine suctioning of meconium-stained infants unless they show signs of respiratory distress, poor muscle tone, or a depressed heart rate.
C. Preparing the client for an ultrasound examination is not the immediate priority. Meconium-stained amniotic fluid may be associated with fetal distress, but the focus should be on the current labor and delivery situation.
D. Preparing the client for an emergency cesarean birth is not the first action.
The presence of meconium staining alone does not necessarily indicate the need for an emergency cesarean birth, especially if the fetal heart rate is reassuring.
Correct Answer is A
Explanation
The correct answer is A. Monitor the fetal heart rate (FHR) every hour.
A. Monitoring the fetal heart rate every hour is a crucial aspect of the plan of care during active labor. Continuous fetal monitoring helps assess the well-being of the baby and ensures timely identification of any signs of fetal distress.
B. Inserting an indwelling urinary catheter is not a routine intervention during active labor. The bladder can be monitored using other non-invasive methods, and catheterization is generally reserved for specific indications.
C. Keeping four side rails up while the client is in bed is not recommended. It may limit the client's mobility and is not a standard practice during labor. Ensuring the safety of the client and promoting mobility is important.
D. Checking the cervix prior to analgesic administration may be necessary, but it is not a general action for every client in active labor. The need for cervical checks should be individualized based on the client's progress, preferences, and clinical indications.
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