A nurse is attending to a client during her first prenatal visit.

The client, who has a BMI of 26.5, is curious about the amount of weight she should gain during her pregnancy.

What should the nurse’s response be?

“It would be best if you gained about 11 to 20 pounds.”.

“A gain of about a pound per week is the best pattern for you.”.

“The recommendation for you is about 15 to 25 pounds.”.

“A gain of about 25 to 35 pounds is recommended for you.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
The recommended weight gain for a pregnant woman depends on her pre-pregnancy BMI. For a woman who is underweight (BMI < 18.5), the recommended weight gain is about 28-40 pounds. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Choice B rationale
While it’s true that weight gain should be gradual during pregnancy, a gain of about a pound per week is not a specific recommendation for a woman with a BMI of 26.54.
Choice C rationale
For a woman who is overweight before pregnancy (BMI 25.0-29.9), the recommended weight gain is about 15 to 25 pounds. Therefore, this choice is the most appropriate for a woman with a BMI of 26.5.
Choice D rationale
The recommendation of a weight gain of about 25 to 35 pounds is for women who had a normal weight (BMI 18.5-24.9) before pregnancy. Therefore, this choice is not applicable for a woman with a BMI of 26.5.

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Correct Answer is D

Explanation

Choice A rationale
Tubal ligation does not alleviate menstrual pain. The procedure involves blocking or sealing the fallopian tubes to prevent pregnancy, but it does not have an effect on menstrual pain.
Choice B rationale
Tubal ligation does not lessen menstrual flow. The procedure prevents pregnancy by blocking the fallopian tubes, but it does not affect the menstrual cycle or the amount of menstrual flow.
Choice C rationale
The timing of the tubal ligation procedure is not typically scheduled just prior to the menstrual cycle. The procedure can be done at any time that is medically appropriate and convenient for the patient.
Choice D rationale
The patient must understand that the procedure is irreversible. Tubal ligation is a permanent form of birth control and is not easily reversed. Therefore, it’s important for patients to fully understand the implications of the procedure before making a decision.

A. Facial edema B. Nausea and vomiting C. Leukorrhea D. Urinary frequency

Correct Answer is A

Explanation

Choice A rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious condition that can occur during pregnancy. Preeclampsia is characterized by high blood pressure and damage to organs such as the liver and kidneys. If a pregnant woman notices sudden or severe swelling in her face or hands, she should seek medical attention immediately.
Choice B rationale
Nausea and vomiting are common discomforts during the first trimester of pregnancy. They are often caused by hormonal changes and usually resolve by the second trimester. While they can be uncomfortable, they are not typically a sign of a serious problem.
Choice C rationale
Leukorrhea, or a thin, milky white vaginal discharge, is normal during pregnancy. It is caused by increased estrogen production and greater blood flow to the pelvic area. However, if the discharge changes in color, consistency, or smell, or if it is associated with itching or burning, it could be a sign of an infection and should be reported to a healthcare provider.
Choice D rationale
Increased urinary frequency is a common symptom in early pregnancy. It is caused by hormonal changes and increased blood flow to the kidneys. While it can be inconvenient, it is not typically a sign of a serious problem.

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A nurse is attending to a client during her first prenatal visit. The client, who has a BMI of 26.5, is curious about the amount of weight she should gain during her pregnancy. What should the nurse’s response be?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a patient who is considering tubal ligation. What should the nurse emphasize during the teaching session?

Correct Answer is D

Explanation

A nurse is educating a client who has a positive pregnancy test about common discomforts in the first trimester of pregnancy and warning signs of potential danger. Which of the following manifestations should the nurse instruct the client to report to the clinic?

Correct Answer is A

Explanation

A pregnant adolescent believes that people from the Bronx are stupid because they do not agree with her pregnancy. What does this type of belief represent?

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

A nurse in a prenatal clinic is caring for a client suspected of having a hydatidiform mole. What findings should the nurse expect to observe in this client?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?

A nurse is teaching a patient who is 15 weeks pregnant and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in which hormone?

A nurse is attending to a client during her first prenatal visit.

The client, who has a BMI of 26.5, is curious about the amount of weight she should gain during her pregnancy.

What should the nurse’s response be?