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 D
Explanation
Choice A rationale
Heartburn is common due to the relaxation of the lower esophageal sphincter caused by progesterone, but quickening (the first movement of the fetus felt by the mother) typically occurs earlier in pregnancy, around 18-20 weeks.
Choice B rationale
Nausea and vomiting are more common in the first trimester due to hormonal changes, particularly increased levels of hCG. These symptoms often decrease as pregnancy progresses.
Choice C rationale
A stuffy nose and bleeding gums can occur due to increased blood volume and hormonal changes affecting mucous membranes, but these are more noticeable in the earlier stages of pregnancy.
Choice D rationale
Constipation and hemorrhoids are common in the third trimester. The growing uterus can put pressure on the rectum and intestines, slowing down bowel movements and increasing the risk of hemorrhoids.
Correct Answer is ["3.9"]
Explanation
Step 1 is 3900 grams ÷ 1000 = 3.9 kg
Step 2 is 25 mg/kg × 3.9 kg = 97.5 mg
Step 3 is 97.5 mg ÷ (125 mg/5 mL) = 3.9 mL
The newborn will receive 3.9 mL in 24 hours.
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