A nurse is caring for a client who is 24 hr postpartum and is breastfeeding her newborn. The client asks the nurse to warm up seaweed soup that the client's partner brought for her. Which of the following responses should the nurse make?
“The hospital food is more nutritious for you”
“Of course, I will heat that up for you."
"Why are you eating seaweed soup?”
“Does the doctor know that you are eating that?"
The Correct Answer is B
Rationale:
A. “The hospital food is more nutritious for you”: This response dismisses the client’s cultural preferences and assumes hospital food is superior without acknowledging personal or traditional choices, which may negatively affect rapport and trust.
B. “Of course, I will heat that up for you.” This response respects the client’s cultural beliefs and supports individualized postpartum care. Seaweed soup is a traditional food in some cultures believed to aid in postpartum recovery and milk production.
C. “Why are you eating seaweed soup?” Asking this without sensitivity can come off as judgmental or culturally insensitive. The client may feel criticized or misunderstood, even if the nurse is simply curious.
D. “Does the doctor know that you are eating that?” This implies that the food might be unsafe or needs medical approval, which can be perceived as disrespectful or unnecessary unless there’s a clinical reason for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Use Leopold maneuvers to determine the fetal position: Leopold maneuvers are not appropriate as an immediate response to sudden nausea. The priority is to relieve the symptom, which may be related to positional compression of major blood vessels.
B. Position the client on her side: At 36 weeks gestation, the gravid uterus can compress the inferior vena cava when lying supine, leading to supine hypotensive syndrome. Symptoms like nausea, dizziness, and hypotension can occur. Side-lying positioning relieves the pressure and restores venous return and cardiac output.
C. Administer propranolol IV to the client: Propranolol is not indicated for treating pregnancy-related nausea or hypotension. Using it without a cardiovascular diagnosis would be inappropriate and could worsen hypotensive symptoms.
D. Ask the client to increase her daily calcium intake: While calcium is essential in pregnancy, especially for fetal bone development, increasing calcium intake has no immediate impact on sudden nausea or circulatory symptoms linked to maternal positioning.
Correct Answer is B
Explanation
Rationale:
A. Boiled eggs: While eggs contain some iron, they are not known to enhance the absorption of nonheme iron. In fact, certain components in eggs may inhibit iron absorption from plant-based sources.
B. Orange slices: Vitamin C (ascorbic acid) found in citrus fruits like oranges significantly enhances the absorption of nonheme iron by reducing it to a more absorbable form. This makes orange slices an ideal complement to iron-rich plant foods.
C. Cheddar cheese: Dairy products like cheese are low in iron and contain calcium, which can actually compete with iron for absorption in the intestines, reducing its bioavailability rather than enhancing it.
D. Mixed nuts: Although nuts contain some iron, they are also high in phytates, which can inhibit iron absorption. They do not actively enhance nonheme iron uptake and are not the best dietary pairing for this purpose.
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