A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

"I will monitor my weight gain during the remaining months."

"I will use only nonprescription medications while pregnant."

"I will tell my doctor before using home remedies for nausea."

will reduce my stress level."

Answer and Explanation

The Correct Answer is B

Choice A reason:

Monitoring weight gain is correct because appropriate weight gain helps support fetal growth and reduces risks of complications such as gestational diabetes and preeclampsia.

Choice B reason:

Using nonprescription medications without provider approval is unsafe since many over-the-counter drugs (like NSAIDs or decongestants) can harm the fetus. This shows a need for further teaching.

Choice C reason:

Telling the provider before using home remedies is appropriate, as some herbs or supplements may be unsafe in pregnancy.

Choice D reason:

Reducing stress is correct because high maternal stress can negatively affect pregnancy outcomes and fetal development.

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Correct Answer is A

Explanation

Choice A: The first priority assessment finding to report to the provider is contractions lasting 2 minutes and with no rest between contractions. Prolonged contractions without adequate rest can lead to uterine hyperstimulation and fetal distress, potentially compromising the wellbeing of both the client and the baby. The provider needs to be informed immediately for further

evaluation and intervention.

Choice B: Pressure on the perineum and the desire to bear down indicate that the client is experiencing the urge to push, which is expected during the second stage of labor, not during the active phase of the first stage. It is not the first priority to report.

Choice C: Clear fluid discharge from the vagina can indicate rupture of membranes, but it is not an immediate concern unless the fluid is meconiumstained or there are other signs of fetal distress.

Choice D: Passage of a bloodtinged mucous plug (also known as "bloody show") is a common sign that labor is approaching, but it is not an immediate concern unless there are other signs of labor progression or complications. It is not the first priority to report.

A. "Don't worry. You will be fine once the baby is born." B. "Ambivalent feelings are quite common for women early in pregnancy." C. "Perhaps you should see a counselor to discuss these feelings further." D. "Have you spoken to your mother about these feelings?"

Correct Answer is B

Explanation

Choice A: This response is dismissive and does not validate the client's feelings. It may not address the client's concerns effectively.

Choice B: This response validates the client's feelings and reassures her that ambivalent feelings about pregnancy are common. It provides a supportive approach and normalizes her emotions.

Choice C: While counseling might be helpful for some clients, suggesting it immediately without further assessment of the client's needs may not be the most appropriate response at this stage.

Choice D: Encouraging the client to discuss her feelings with her mother may not be suitable, as the client might prefer professional support or may not have a positive relationship with her

mother. It is essential to avoid making assumptions about the client's support system and address her concerns empathetically.

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A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

Choice A reason:

Choice B reason:

Choice C reason:

Choice D reason:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 38 weeks of gestation and is in the active phase of the first stage of labor. Which of the following assessment findings is the first priority for the nurse to report to the provider?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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