A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?
"A client should avoid consuming undercooked meat while pregnant
"Obtain an immunization against rubella early in pregnancy
“Seek prophylactic treatment if cytomegalovirus is detected during pregnancy.”
"A client should avoid crowded places during pregnancy."
The Correct Answer is A
A. "A client should avoid consuming undercooked meat while pregnant." Toxoplasmosis, one of the TORCH infections, can be contracted by eating undercooked or raw meat. Avoiding undercooked meat helps prevent this infection, which can cause severe complications for the fetus.
B. "Obtain an immunization against rubella early in pregnancy." Rubella vaccine (part of MMR) is a live virus vaccine and is contraindicated during pregnancy due to the risk of harm to the fetus. Rubella vaccination should be administered before conception or postpartum.
C. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy." Currently, there is no prophylactic treatment for cytomegalovirus (CMV) during pregnancy. Prevention focuses on hygiene practices, such as frequent handwashing, especially after handling bodily fluids, to reduce the risk of transmission.
D. "A client should avoid crowded places during pregnancy." While avoiding crowded places may reduce exposure to certain infections, it is not a specific strategy for preventing TORCH infections. Other preventative measures, like avoiding raw meat and practicing good hygiene, are more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Encourage the client to limit carbohydrate intake to 40% of their daily calories. For clients with gestational diabetes, dietary modifications are a critical intervention. Limiting carbohydrate intake to 40% of daily calories can help regulate blood glucose levels.
B. Instruct the client to check a random blood glucose level once daily. The client should check fasting and postprandial blood glucose levels regularly (usually multiple times per day) to manage glucose control more effectively.
C. Anticipate a prescription for metformin. Given the elevated fasting blood glucose levels and high HbA1C (12%), this client may require pharmacological management to control blood sugar levels. Metformin is a common oral hypoglycemic agent used during pregnancy when diet and lifestyle changes are insufficient.
D. Conduct a non-stress test twice per week. Clients with uncontrolled gestational diabetes or poorly controlled blood sugar levels are at increased risk of fetal complications such as macrosomia, stillbirth, and preterm labor. A non-stress test (NST) twice a week helps monitor fetal well-being and detect early signs of distress.
E. Tell the client to refrain from exercise until after delivery. Exercise is generally recommended for clients with gestational diabetes unless contraindicated. Regular physical activity can help lower blood glucose levels and improve insulin sensitivity.
Correct Answer is B
Explanation
A. Placenta previa: Placenta previa is not specifically linked to gestational diabetes. It is related to abnormal placental implantation.
B. Newborn hypoglycaemia: Gestational diabetes can cause the newborn to produce excess insulin in response to maternal hyperglycemia, which can result in hypoglycemia after birth.
C. Oligohydramnios: Oligohydramnios is not commonly associated with gestational diabetes. Polyhydramnios is more likely due to fetal hyperglycemia.
D. Small for gestational age newborn: Gestational diabetes more commonly results in large for gestational age (LGA) newborns due to excess glucose available to the fetus, which can lead to excessive growth.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.