A nurse is providing care to a client in her first trimester of pregnancy.
The client inquires if she can maintain her exercise regimen during pregnancy.
What would be the nurse’s most appropriate response?

Daily jogging for up to 30 minutes is acceptable throughout the pregnancy.

Activities that elevate body temperature, such as saunas and hot tubs, are safe until the third trimester.

Exercise during pregnancy is not recommended.

Pregnant clients should restrict their exercise routine to stretching activities on a mat several times a week.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Regular exercise is generally safe and beneficial for pregnant women. It can help manage weight gain, improve mood and energy levels, and reduce pregnancy discomfort. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy as long as the woman feels comfortable and her healthcare provider has not indicated otherwise.

Choice B rationale

Activities that elevate body temperature, such as saunas and hot tubs, are not recommended during pregnancy. High body temperatures can be harmful to the fetus, especially during the first trimester.

Choice C rationale

Exercise during pregnancy is generally recommended unless there are specific health concerns or complications that make it unsafe. It’s always important for pregnant women to consult with their healthcare provider before starting or continuing an exercise regimen.

Choice D rationale

While stretching activities can be a part of a balanced exercise routine during pregnancy, they should not be the only form of exercise. A combination of aerobic and strength-conditioning exercises is typically recommended.

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Correct Answer is C

Explanation

Choice A rationale

A negative rubella titer indicates that the client does not have immunity to the rubella virus. Therefore, the statement that the client is immune to the rubella virus is incorrect.

Choice B rationale

While it is true that a person with a negative rubella titer needs a rubella vaccination, it is not recommended to administer the vaccine immediately during pregnancy due to the potential risks to the fetus. Therefore, this statement is not correct in this context.

Choice C rationale

The correct interpretation of a negative rubella titer in an antepartum client is that the client should receive a rubella immunization post-delivery. This is because rubella can cause serious complications if contracted during pregnancy, including congenital rubella syndrome in the newborn. Vaccination post-delivery will protect the client in future pregnancies.

Choice D rationale

A negative rubella titer does not provide information about whether the client is currently infected with the rubella virus. It only indicates that the client does not have immunity to the virus. Therefore, this statement is not a correct interpretation of the data.

A. The procedure will decrease her menstrual flow. B. The procedure will reduce her menstrual pain. C. The client should schedule it to be done just before the menstrual flow. D. She must think the procedure is irreversible.

Correct Answer is D

Explanation

Choice A rationale

Tubal ligation does not decrease menstrual flow. It is a surgical procedure that blocks or seals the fallopian tubes, preventing eggs from reaching the uterus for implantation.

Choice B rationale

Tubal ligation does not reduce menstrual pain. It prevents pregnancy but does not have an effect on the menstrual cycle or associated symptoms.

Choice C rationale

The timing of the procedure in relation to the menstrual cycle is not a significant factor in tubal ligation. The procedure can be performed at any time as long as pregnancy is not present.

Choice D rationale

It is crucial to emphasize that tubal ligation is considered a permanent form of birth control. While reversal procedures exist, they are not always successful and should not be relied upon. Therefore, the decision to undergo tubal ligation should be made with the understanding that it is typically irreversible.

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A nurse is providing care to a client in her first trimester of pregnancy.The client inquires if she can maintain her exercise regimen during pregnancy.What would be the nurse’s most appropriate response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attending to an antepartum client whose lab results show a negative rubella titer.What is the correct interpretation of this data?

Correct Answer is C

Explanation

The nurse is planning instructions for a patient desiring to have a tubal ligation.Which information should the nurse emphasize when teaching the patient?

Correct Answer is D

Explanation

A nurse is completing a health history for a client who is at 6 weeks of gestation.The client informs the nurse that she smokes one pack of cigarettes per day.The nurse should advise the client that smoking places the client’s newborn at risk for which of the following complications?

A nurse is evaluating a patient in her third trimester of pregnancy.Which findings should the nurse recognize as expected physiological changes during pregnancy?

A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa. What is the priority nursing action?

A nurse is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.The preliminary diagnosis is an inevitable abortion.Which nursing interventions should be included in the care plan?

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

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?

When assessing a patient’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the patient comprehends the information provided?

A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy.Which statement should the nurse include in the teaching?

A nurse is providing care to a client in her first trimester of pregnancy.
The client inquires if she can maintain her exercise regimen during pregnancy.
What would be the nurse’s most appropriate response?