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."

Answer and Explanation

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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Correct Answer is D

Explanation

Explanation:

A. "This is a probable sign of pregnancy."

A probable sign of pregnancy is an objective finding observed by a healthcare provider that suggests the likelihood of pregnancy but does not confirm it definitively. Examples of probable signs include positive pregnancy tests (urine or blood tests), changes in the uterus (enlargement, softening), and changes in the cervix (Goodell's sign, Chadwick's sign). Sensations of fetal movement, such as the feeling of the baby moving, are actually presumptive signs of pregnancy rather than probable signs because they can have other explanations and are not definitive proof of pregnancy.

B. "This is a possible sign of pregnancy."

While sensations of fetal movement can be associated with pregnancy, they are more accurately classified as presumptive signs rather than possible signs. Possible signs typically refer to signs or symptoms that could be related to various conditions, including pregnancy, but do not specifically indicate pregnancy on their own. In this context, "possible" may not be as accurate as "presumptive" for describing fetal movement as a sign of pregnancy.

C. "This is a positive sign of pregnancy."

A positive sign of pregnancy is a definitive finding that confirms the presence of a fetus. Examples of positive signs include fetal heartbeat heard by Doppler or ultrasound, fetal movement felt by the healthcare provider (palpation), and visualization of the fetus on ultrasound. Sensations of fetal movement reported by the woman (quickening) are not considered positive signs because they can be subjective and may have other explanations, such as gas or muscle contractions.

D. "This is a presumptive sign of pregnancy."

A presumptive sign of pregnancy is a subjective sign reported by the woman that may indicate pregnancy but can also have other explanations. Examples include amenorrhea (missed periods), nausea and vomiting (morning sickness), breast changes, and sensations of fetal movement (quickening). Sensations of fetal movement are considered presumptive because they are subjective and can be caused by factors other than pregnancy, such as gas or muscle contractions.

A. Limit alcohol consumption. B. Consume foods fortified with folic acid. C. Increase intake of iron-rich foods. D. Avoid foods containing aspartame.

Correct Answer is B

Explanation

Explanation:

A. Limit alcohol consumption:

Alcohol consumption during pregnancy is associated with various risks, including fetal alcohol spectrum disorders (FASDs). However, in the context of reducing the risk of NTDs specifically, the focus is on nutritional factors, particularly folic acid intake, rather than alcohol consumption.

B. Consume foods fortified with folic acid:

This choice is the correct recommendation. Folic acid is crucial for the prevention of neural tube defects. Women of childbearing age, especially those planning pregnancy, are advised to consume foods fortified with folic acid or take folic acid supplements to ensure adequate intake before and during early pregnancy. This is a key preventive measure endorsed by healthcare professionals worldwide.

C. Increase intake of iron-rich foods:

Iron is important during pregnancy to prevent anemia and support fetal growth and development. However, iron intake is not directly linked to reducing the risk of neural tube defects. While overall nutritional health is essential during pregnancy, focusing on iron-rich foods alone does not specifically address the prevention of NTDs.

D. Avoid foods containing aspartame:

Aspartame is an artificial sweetener found in many foods and beverages. While there may be general recommendations regarding artificial sweetener consumption during pregnancy, avoiding foods with aspartame is not directly related to reducing the risk of neural tube defects. The primary focus for NTD prevention lies in adequate folic acid intake.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who believes that she might be pregnant because she feels the baby moving. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has a neural tube defect, which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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