A nurse is providing education to a client during her first prenatal visit.
Which of the following should the nurse include in the teaching to decrease the risk of preterm labor?
Maintain folic acid intake of 4 mcg per day.
Increase fluids to 8-10 (8 oz) glasses per day.
Consume the recommended daily allowance of vitamin C (85 mg).
Increase caloric intake by 500 calories per day.
The Correct Answer is B
Choice A rationale
Maintaining a folic acid intake of 4 mcg per day is not sufficient. The recommended dose for pregnant women is 400-800 mcg to help prevent neural tube defects, but it is not specifically related to reducing the risk of preterm labor.
Choice B rationale
Increasing fluid intake to 8-10 (8 oz) glasses per day is recommended as it helps to maintain hydration, which is crucial in preventing preterm labor. Dehydration can cause uterine contractions, which can lead to preterm labor.
Choice C rationale
Consuming the recommended daily allowance of vitamin C (85 mg) is important for immune function and overall health but does not directly affect the risk of preterm labor.
Choice D rationale
Increasing caloric intake by 500 calories per day is typically recommended for breastfeeding mothers, not for preventing preterm labor during pregnancy. Proper nutrition is important, but overconsumption can lead to excessive weight gain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale
Rubella vaccination is contraindicated during pregnancy due to the risk of congenital rubella syndrome in the fetus. It should be administered postpartum if the client is non-immune.
Choice B rationale
Preterm labor is a concern at 28 weeks' gestation. Educating the client on signs and symptoms can help in early detection and management, potentially improving outcomes for both mother and baby.
Choice C rationale
Rh-negative mothers with a negative antibody screen should receive Rhogam at 28 weeks to prevent Rh sensitization. This is crucial to avoid hemolytic disease of the newborn in future pregnancies.
Choice D rationale
A positive urine analysis for leukocytes indicates a possible urinary tract infection. A clean catch urine culture is needed to identify the causative organism and guide appropriate antibiotic therapy.
Choice E rationale
The glucose challenge test result of 120 at 26 weeks is within normal limits, but a 3-hour diagnostic glucose tolerance test may be ordered if there's a high index of suspicion for gestational diabetes or other risk factors.
Choice F rationale
A blood transfusion is not indicated as the hemoglobin/hematocrit levels (11.0 mg/dl and 35%) are within acceptable limits for pregnancy.
Correct Answer is A
Explanation
Choice A rationale
This represents 5 pregnancies (2 elective abortions, 1 twin birth, 1 spontaneous twin abortion, and current pregnancy), 1 term birth, 0 preterm births, 2 abortions (excluding current pregnancy), and 1 living child.
Choice B rationale
Incorrect because it lists 1 term birth and 3 abortions, which does not accurately reflect the client's history.
Choice C rationale
Incorrect because it states 4 pregnancies and 2 living children, missing the current pregnancy and miscounting the living children.
Choice D rationale
Incorrect as it accounts for 3 pregnancies, incorrectly summing the term birth and spontaneous abortions without considering the current pregnancy.
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