A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy.
Which of the following statements should the nurse make?

Be careful about exercises that include stretching.

It's a good idea to increase your weight-bearing exercises.

Moderate exercise can help improve your circulation.

You should rest for 5 minutes following exercise.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While stretching is generally safe during pregnancy, it's essential to do it gently and avoid overstretching. Overstretching can potentially lead to injuries or joint problems, as ligaments are naturally more relaxed during pregnancy due to hormonal changes. Therefore, advising caution with stretching exercises is not the most encouraging or informative response to address the client's concerns about exercise.

Choice B rationale:

Increasing weight-bearing exercises is not specifically recommended during pregnancy. While some weight-bearing exercises can be beneficial, such as walking or low-impact aerobics, it's crucial to prioritize low-impact activities that don't put excessive strain on the joints and ligaments. Excessive weight-bearing exercises can potentially lead to discomfort, fatigue, or even injury.

Choice C rationale:

This is the most appropriate response because it accurately highlights the benefits of moderate exercise during pregnancy. Regular physical activity can significantly improve circulation, which is essential for both the mother and the developing fetus. Improved circulation enhances oxygen and nutrient delivery to the fetus, promotes waste removal, and can help reduce swelling and discomfort in the mother's legs and feet.

Choice D rationale:

While resting for a few minutes after exercise is generally a good practice, it's not the most significant aspect to emphasize when addressing the client's concerns. Emphasizing the benefits of exercise itself is more likely to encourage the client to engage in physical activity.

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Correct Answer is D

No explanation

A. A client who has a blood pressure of 100/60. B. A 15-year-old client who has acne. C. A client who has a hematocrit of 39. D. A client who has a menstrual cycle every 14 days.

Correct Answer is B

Explanation

Choice A rationale:
A blood pressure of 100/60 is within the normal range and does not pose a contraindication to oral contraceptives. While hypertension (high blood pressure) can be a contraindication, a blood pressure of 100/60 is not considered hypertensive.
However, it's essential to monitor blood pressure regularly in individuals using oral contraceptives, as some may experience a slight increase in blood pressure.

Choice B rationale:
Age is a significant factor when considering oral contraceptive use.
Adolescents under 16 years of age are generally not recommended to use oral contraceptives due to several concerns: Their reproductive systems are still developing, and hormonal contraceptives could potentially disrupt normal growth and development.
Younger adolescents may have more difficulty adhering to a strict daily medication regimen, which is crucial for the effectiveness of oral contraceptives.
They may be at a higher risk of certain side effects, such as irregular bleeding patterns and mood changes.
Acne treatment is often a primary reason for considering oral contraceptives in adolescents. However, alternative acne treatments that are more suitable for younger individuals are available.

Choice C rationale:
A hematocrit of 39 is within the normal range for females and does not contraindicate oral contraceptive use.
Hematocrit measures the proportion of red blood cells in the blood. Oral contraceptives can sometimes cause slight changes in hematocrit levels, but these changes are typically not clinically significant.

Choice D rationale:
A menstrual cycle of 14 days is considered a normal variation and does not pose a contraindication to oral contraceptives. Oral contraceptives can often regulate irregular menstrual cycles, so they may even be beneficial for individuals with shorter or longer cycles.

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A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy.
Which of the following statements should the nurse make?