A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.
Which statement by the client indicates a need for further teaching?

I will use only nonprescription medications while pregnant.

I will tell my doctor before using home remedies for nausea.

I will monitor my weight gain during the remaining months.

I will reduce my stress level.

Answer and Explanation

The Correct Answer is A

Choice A rationale

The statement “I will use only nonprescription medications while pregnant” indicates a need for further teaching. Not all nonprescription (over-the-counter) medications are safe to use during pregnancy. Some may have effects on the fetus and others may affect the course of the pregnancy.

Choice B rationale

It’s important for pregnant women to discuss any home remedies for nausea or other symptoms with their doctor, as some remedies may not be safe during pregnancy.

Choice C rationale

Monitoring weight gain during pregnancy is important as excessive or insufficient weight gain can lead to complications such as gestational diabetes, hypertension, or growth issues for the baby.

Choice D rationale

Reducing stress levels during pregnancy is beneficial for both the mother and the baby’s health. High levels of stress can lead to complications such as preterm labor and low birth weight.

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Correct Answer is D

Explanation

Choice A rationale

While iron-rich foods are important for overall health and preventing anemia, they do not specifically minimize the risk of having a newborn with a neural tube defect.

Choice B rationale

Limiting alcohol consumption is crucial during pregnancy as it can lead to fetal alcohol syndrome. However, it does not specifically target the prevention of neural tube defects.

Choice C rationale

Aspartame, an artificial sweetener, has been a topic of debate regarding its safety during pregnancy. While it’s generally considered safe in moderation, avoiding foods containing aspartame does not specifically prevent neural tube defects.

Choice D rationale

Consuming foods fortified with folic acid is the most effective way to prevent neural tube defects. Folic acid is a B vitamin that is crucial for proper brain and spine development in the early stages of pregnancy.

A. Very fine hairs, called lanugo, cover your baby’s entire body by week 36 of pregnancy. B. The sex of the baby is determined by week 8 of pregnancy. C. You will first feel your baby move in week 24 of pregnancy. D. The baby’s heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy.

Correct Answer is D

Explanation

The correct answer is Choice D

Choice A rationale: Lanugo, very fine hairs, begin to cover the baby's body around week 20, not week 36. These hairs help protect the skin and usually disappear before birth. By week 36, the lanugo has mostly disappeared, and the baby is almost fully developed.

Choice B rationale: The sex of the baby is determined at conception based on the chromosomes carried by the sperm and egg. However, the external genitalia do not become distinguishable until around week 12 of pregnancy, making week 8 too early for sex determination.

Choice C rationale: Most women first feel fetal movements, known as quickening, between weeks 18 and 22, not week 24. This can vary based on individual factors, but week 24 is generally later than the typical range for first fetal movements.

Choice D rationale: The baby's heartbeat can usually be heard using a Doppler stethoscope by around 12 weeks of pregnancy. This marks a significant milestone and reassures expectant parents about their baby's health and development at this early stage

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A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.Which statement by the client indicates a need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing nutritional advice to a woman considering pregnancy.What information should the nurse include to minimize the risk of having a newborn with a neural tube defect?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.
Which statement by the client indicates a need for further teaching?