A nurse is educating a pregnant client about iron supplementation during pregnancy. Which of the following instructions should the nurse include for the client?
Take your supplementation every other day to reduce Gl upset.
Take your supplementation with milk.
Take your supplement with orange juice.
Take your supplementation with tea first thing in the morning.
The Correct Answer is C
A. While some guidelines suggest that alternating days can reduce gastrointestinal side effects and improve absorption for certain formulations, the primary recommendation for iron absorption focuses on enhancers and inhibitors of absorption, not timing. Therefore, this is not the most important instruction for effectiveness.
B. Calcium in milk inhibits iron absorption, making it less effective when taken together. Iron supplements should not be taken with dairy products.
C. Vitamin C (ascorbic acid), found in orange juice, enhances the absorption of non-heme iron, which is the type found in most oral iron supplements. Taking iron with vitamin C–rich fluids significantly improves the effectiveness of supplementation.
D. Tea contains tannins, which inhibit iron absorption, reducing the effectiveness of the supplement. It is recommended to avoid tea, coffee, and high-calcium foods near the time of taking iron supplements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. One cm above the symphysis pubis is typical immediately postpartum (within a few hours) for a fundus that has already begun involuting, but by 26 hours, the uterus is expected to have risen slightly above the umbilicus, so this is too low for this timeframe.
B. Midline at the umbilicus occurs approximately 12 hours postpartum, when the uterus has involuted upward to the level of the umbilicus. At 26 hours, the fundus is expected to have slightly involuted from the umbilicus, but still slightly above it.
C. Midline, 1 cm above the umbilicus is the expected location about 24 hours postpartum. The uterus remains firm and midline but gradually descends approximately 1 cm per day as involution continues. This finding is considered normal for a client 26 hours after delivery.
D. Midline, 2 cm above the umbilicus would be expected closer to immediately postpartum, not 26 hours later. By this time, the fundus has already begun to descend as part of the normal involution process.
Correct Answer is C
Explanation
A. This is incorrect because dilation and effacement are two distinct processes. Dilation refers specifically to how open the cervix is, measured in centimeters from 0 cm (closed) to 10 cm (fully dilated). Thinning of the cervix is a separate process called effacement, which prepares the cervix for the passage of the fetus. Confusing these terms can lead to misunderstanding labor progression.
B. This is incorrect. Effacement is expressed as a percentage from 0% to 100%, indicating the degree of cervical thinning and shortening. A cervix that is 0% effaced is thick and long, while a cervix that is 100% effaced is paper-thin and fully prepared for delivery. Measuring effacement in centimeters is inaccurate and does not reflect clinical practice.
C. This is correct. Dilation measures the opening of the cervical canal, while effacement measures the thinning and shortening of the cervix. During labor, both processes occur simultaneously but independently. This statement demonstrates that the client understands the distinct roles of dilation and effacement in labor progression, which is essential for interpreting cervical assessments and anticipating delivery.
D. This is incorrect. Cervical opening refers to dilation, not effacement. Effacement refers exclusively to the thinning of the cervical tissue, which helps the cervix stretch more effectively during contractions and allows for easier passage of the fetus through the birth canal.
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