A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
"I should drink about 2 liters of fluid each day."
"I can have a moderate amount of caffeine daily."
"I should not drink alcoholic beverages during my pregnancy."
"I should increase my calcium intake to 1,500 milligrams per day."
The Correct Answer is D
Explanation:
A. "I should drink about 2 liters of fluid each day."
This statement is generally accurate and aligned with recommendations for adequate hydration during pregnancy. The recommended daily fluid intake for pregnant individuals is typically around 8 to 10 cups of fluids per day, which is approximately 2 liters. Adequate hydration is important during pregnancy to support overall health, prevent dehydration, and maintain proper functioning of bodily systems.
B. "I can have a moderate amount of caffeine daily."
This statement is generally acceptable and aligned with guidelines from organizations such as the American College of Obstetricians and Gynecologists (ACOG). Moderate caffeine intake, typically defined as up to 200 milligrams per day, is considered safe during pregnancy for most individuals. However, it's essential to be mindful of caffeine sources and consume them in moderation, as excessive caffeine intake can have adverse effects on pregnancy outcomes.
C. "I should not drink alcoholic beverages during my pregnancy."
This statement is correct and crucial for a healthy pregnancy. Alcohol consumption during pregnancy is associated with various risks, including fetal alcohol spectrum disorders (FASDs) and developmental issues. Therefore, healthcare providers universally recommend abstaining from alcohol entirely during pregnancy to protect the health and well-being of both the mother and the developing baby.
D. "I should increase my calcium intake to 1,500 milligrams per day."
This statement indicates a need for clarification because the recommended daily intake of calcium during pregnancy is typically around 1,000 milligrams per day for most pregnant individuals. While some healthcare providers may recommend slightly higher amounts, such as up to 1,300 milligrams per day, a calcium intake of 1,500 milligrams per day is relatively high and may not align with standard recommendations without specific indications such as a history of low calcium levels or certain medical conditions. It's important for the nurse to clarify and provide accurate information regarding appropriate calcium intake during pregnancy based on the client's individual needs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Explanation:
A. Shortly after giving birth
This timing is not recommended for rubella immunization during pregnancy. Rubella vaccination should ideally occur before conception or during the postpartum period, but not immediately after giving birth.
B. Immediately
Immunization for rubella is not typically recommended immediately during pregnancy. It is preferred to administer rubella vaccination before pregnancy or during the postpartum period.
C. During her next attempt to get pregnant
This option is closer to the recommended timing. Women who lack immunity to rubella should receive the rubella vaccine after giving birth but before attempting to get pregnant again. This approach helps ensure protection against rubella during future pregnancies.
D. In the third trimester
Administering rubella immunization during the third trimester of pregnancy is not recommended. Vaccination against rubella should ideally occur either before pregnancy or after delivery, as giving it during pregnancy can pose risks to the fetus.
Correct Answer is C
Explanation
Explanation:
A. Pattern of contractions: While the pattern of contractions is important in assessing labor progress, it alone may not differentiate between true labor and false labor (also known as Braxton Hicks contractions). True labor contractions typically become longer, stronger, and more frequent over time, but other factors must also be considered to confirm true labor.
B. Rupture of the membranes: Rupture of the membranes (water breaking) can occur during both true labor and false labor. However, it is not a definitive sign of true labor on its own, as it can also happen spontaneously or due to other reasons.
C. Changes in the cervix: This is the correct answer. True labor is characterized by progressive changes in the cervix, including effacement (thinning) and dilation (opening). These changes can be confirmed through a cervical examination performed by a healthcare provider.

D. Station of the presenting part: The station of the presenting part refers to the position of the baby's head in relation to the mother's pelvis. While the station can provide information about the progress of labor, it is not a specific sign of true labor by itself.
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