A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates understanding of the teaching?

“I can have 4 oz of white wine daily.”

“I should switch to drinking whole milk.”

“I want to lose 18 lbs.”

“I can consume 1000 mg of caffeine daily.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Consuming any amount of alcohol during pregnancy is not recommended. Alcohol can cross the placenta and harm the developing fetus, potentially leading to fetal alcohol spectrum disorders (FASDs). FASDs can cause a range of physical, mental, and behavioral problems, including intellectual disabilities, learning disabilities, and physical abnormalities. Even small amounts of alcohol can increase the risk of FASDs, and there is no known safe amount of alcohol to consume during pregnancy.

Choice B rationale:
Switching to whole milk during pregnancy can be a beneficial choice for several reasons:
Increased calcium and vitamin D: Whole milk is a rich source of calcium and vitamin D, which are essential for the development of the baby's bones, teeth, and muscles. Calcium also supports the mother's bone health and helps prevent pregnancy-related osteoporosis.
Healthy fats: Whole milk contains healthy fats that are important for fetal brain development and the mother's overall health. These fats also contribute to satiety and can help manage weight gain during pregnancy.
Essential nutrients: Whole milk provides a variety of other essential nutrients, including protein, vitamins A and B12, riboflavin, and zinc. These nutrients support overall health and well-being during pregnancy.

Choice C rationale:
Weight loss during pregnancy is generally not recommended unless specifically advised by a healthcare provider. Pregnancy is a time for growth and nourishment of the baby, and restricting calories or attempting to lose weight can potentially harm the developing fetus. It's important to focus on consuming a healthy, balanced diet and gaining a healthy amount of weight during pregnancy.

Choice D rationale:
Consuming high amounts of caffeine during pregnancy is not recommended. Caffeine can cross the placenta and potentially affect the baby's heart rate and sleep patterns. It's generally advised to limit caffeine intake to less than 200 milligrams per day during pregnancy.

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Correct Answer is C

Explanation

Choice A rationale:

While stretching is generally safe during pregnancy, it's essential to do it gently and avoid overstretching. Overstretching can potentially lead to injuries or joint problems, as ligaments are naturally more relaxed during pregnancy due to hormonal changes. Therefore, advising caution with stretching exercises is not the most encouraging or informative response to address the client's concerns about exercise.

Choice B rationale:

Increasing weight-bearing exercises is not specifically recommended during pregnancy. While some weight-bearing exercises can be beneficial, such as walking or low-impact aerobics, it's crucial to prioritize low-impact activities that don't put excessive strain on the joints and ligaments. Excessive weight-bearing exercises can potentially lead to discomfort, fatigue, or even injury.

Choice C rationale:

This is the most appropriate response because it accurately highlights the benefits of moderate exercise during pregnancy. Regular physical activity can significantly improve circulation, which is essential for both the mother and the developing fetus. Improved circulation enhances oxygen and nutrient delivery to the fetus, promotes waste removal, and can help reduce swelling and discomfort in the mother's legs and feet.

Choice D rationale:

While resting for a few minutes after exercise is generally a good practice, it's not the most significant aspect to emphasize when addressing the client's concerns. Emphasizing the benefits of exercise itself is more likely to encourage the client to engage in physical activity.

A. I need to schedule the test when the baby is usually active B. I have to lie on my back during the test C. The baby’s heart rate will be monitored during the test D. I will be able to go to the bathroom during the test if necessary

Correct Answer is B

Explanation

Rationale for Choice A:
It is accurate that scheduling the NST when the baby is usually active is beneficial. This is because fetal movement is expected to cause accelerations in the fetal heart rate, which is a positive sign of fetal well-being.
By scheduling the test during a time of typical fetal activity, the chances of obtaining a reactive NST (a normal result) are increased.
Therefore, this statement does not indicate a need for further teaching.

Rationale for Choice B:
Lying on the back during the NST is not recommended.
This position can cause the weight of the uterus to compress the major blood vessels (the inferior vena cava and aorta), potentially reducing blood flow to the placenta and fetus.
Reduced blood flow can, in turn, lead to a decrease in fetal heart rate and movement.
To avoid this, the recommended position for NST is a semi-Fowler's position, which involves being partially reclined with the head and upper body elevated.
This position helps to promote uterine perfusion and prevent supine hypotension.

Rationale for Choice C:
It is accurate that the baby's heart rate will be monitored during the NST.
This is the primary purpose of the test: to assess the fetal heart rate response to fetal movement. Therefore, this statement does not indicate a need for further teaching.

Rationale for Choice D:
It is accurate that the client will be able to go to the bathroom during the NST if necessary. The test is noninvasive and does not require strict immobility.
The client can move around and use the bathroom as needed, as long as the fetal heart rate monitor is not disconnected.
Therefore, this statement does not indicate a need for further teaching.

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A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates understanding of the teaching?

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