A nurse is caring for a client who is at 14 weeks of gestation. Which of the following statements should the nurse identify as the client being emotionally prepared for pregnancy?
"If I keep gaining weight, I will be miserable."
"I cannot believe I got pregnant. We really weren't even trying to have a baby."
"I understand that hormonal changes can cause me to be happy one minute and sad the next."
"This baby will totally change my lifestyle, and I am not sure I am ready for all of this."
The Correct Answer is C
A. "If I keep gaining weight, I will be miserable." Expressing anxiety about weight gain reflects a lack of emotional readiness and acceptance regarding the physical changes that accompany pregnancy.
B. "I cannot believe I got pregnant. We really weren't even trying to have a baby." Indicating surprise suggests a lack of preparation for the emotional and practical aspects of pregnancy. This reflects that the client may not have fully accepted the reality of the situation.
C. "I understand that hormonal changes can cause me to be happy one minute and sad the next." Recognizing and accepting the emotional fluctuations that can occur during pregnancy due to hormonal changes indicates a level of emotional preparation for the journey ahead.
D. "This baby will totally change my lifestyle, and I am not sure I am ready for all of this." Acknowledging the impact of having a baby on lifestyle is important, but expressing uncertainty suggests that the client may still be struggling with the implications of becoming a parent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I should not feed my baby anything for 2 hours prior to an immunization." There are no dietary restrictions before routine infant vaccinations. Feeding is encouraged as usual, and breastfeeding may help soothe the infant after immunization.
B. "My baby will receive the rotavirus immunization orally." The rotavirus vaccine is administered orally as a liquid, not as an injection. This vaccine helps protect against severe diarrheal illness caused by rotavirus.
C. "I should expect my baby to have a high fever for 24 hours after an immunization." Mild fever and irritability are common side effects, but a high fever is not expected. Persistent or severe fever should be reported to a healthcare provider.
D. "My baby will receive three doses of the meningococcal immunization before kindergarten." The meningococcal vaccine is not routinely given in infancy. It is typically administered at 11–12 years of age, with a booster at 16 years, unless the infant is at high risk due to certain medical conditions.
Correct Answer is ["A","B","C","D","E","H","J"]
Explanation
- WBC count 6,700/mm³ is unchanged from previous readings, remaining within normal limits, indicating no new or worsening infection or inflammatory response.
- Hemoglobin 12 g/dL represents a significant increase from the previous value of 7.8 g/dL, demonstrating successful red blood cell transfusion and improvement in oxygen-carrying capacity.
- Hematocrit 36% is also markedly improved from 24%, further confirming correction of anemia following transfusion.
- Blood pressure 112/74 mm Hg has increased from a low of 76/45 mm Hg, indicating improved circulatory status and perfusion following fluid resuscitation and transfusion.
- Heart rate 95/min is a decrease from previous tachycardic values (121/min), suggesting stabilization of hemodynamics and resolution of compensatory response to anemia and hypotension.
- Oxygen saturation 100% on 2 L/min O₂ via nasal cannula confirms adequate oxygenation, demonstrating improved hemoglobin levels and effective oxygen delivery.
- Respiratory: bilateral breath sounds clear confirms stable respiratory function, showing no complications such as fluid overload or transfusion-related lung injury.
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