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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation:
A. Assess maternal blood glucose:
While assessing blood glucose levels is important in clients receiving magnesium sulfate due to its potential effects on blood sugar, it is not the priority action in this scenario. The client's respiratory rate of 10/min and absent deep-tendon reflexes are signs of magnesium sulfate toxicity, which can lead to respiratory depression and neuromuscular effects. Therefore, the immediate concern is addressing the magnesium toxicity rather than assessing blood glucose levels.
B. Place the client in Trendelenburg position:
Placing the client in Trendelenburg position is not indicated for magnesium toxicity. The Trendelenburg position involves placing the client in a supine position with the legs elevated higher than the head. While this position may be used in some situations (e.g., hypotension), it is not appropriate for treating magnesium toxicity, respiratory depression, or absent deep-tendon reflexes. Placing the client in Trendelenburg position may worsen respiratory function and is not recommended in this case.
C. Prepare for an emergency cesarean birth:
While severe preeclampsia or eclampsia may necessitate emergency cesarean birth in some cases, it is not the immediate action needed for a client experiencing respiratory depression and absent deep-tendon reflexes due to magnesium sulfate toxicity. Cesarean birth is not the appropriate response to magnesium toxicity and would not address the client's current respiratory and neuromuscular issues. Therefore, preparing for an emergency cesarean birth is not the correct action in this scenario.
D. Discontinue the medication infusion:
This is the correct action to take. A respiratory rate of 10/min and absent deep-tendon reflexes are signs of magnesium sulfate toxicity. Magnesium sulfate, while effective in preventing seizures in preeclampsia, can lead to respiratory depression and affect neuromuscular function at toxic levels. Discontinuing the medication infusion is crucial to prevent further magnesium toxicity and adverse effects on the client's respiratory and neuromuscular status. It is the immediate and priority action needed to address the client's current condition.
Correct Answer is D
Explanation
Explanation:
A. It destroys Rh antibodies in newborns who are Rh positive.
This statement is incorrect. Rh immunoglobulin does not destroy Rh antibodies in newborns. It is given to Rh-negative mothers to prevent the formation of Rh antibodies in response to exposure to Rh-positive fetal blood cells.
B. It destroys Rh antibodies in mothers who are Rh negative.
This statement is inaccurate. Rh immunoglobulin does not destroy Rh antibodies in mothers. Instead, it acts by binding and neutralizing Rh-positive fetal blood cells that enter the maternal circulation, preventing the mother's immune system from producing Rh antibodies against these cells.
C. It prevents the formation of Rh antibodies in newborns who are Rh positive.
This statement is not entirely correct. Rh immunoglobulin is administered to Rh-negative mothers to prevent them from developing Rh antibodies in response to exposure to Rh-positive fetal blood cells during pregnancy or childbirth. It does not directly prevent the formation of Rh antibodies in newborns.
D. It prevents the formation of Rh antibodies in mothers who are Rh negative.
This statement is accurate. Rh immunoglobulin works by preventing the Rh-negative mother's immune system from producing Rh antibodies against Rh-positive fetal blood cells. By doing so, it reduces the risk of Rh isoimmunization and its potential complications in subsequent pregnancies.
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