A nurse is reinforcing teaching about expected gestational changes with 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 use only nonprescription medications while pregnant.”.
"I am going to reduce my stress level.”.
"I should monitor my weight gain during the following months.”.
"I will consult with my doctor before using home remedies for nausea.”.
The Correct Answer is A
Choice A rationale
Nonprescription medications can still have adverse effects on pregnancy and should be taken only with a healthcare provider's approval. This indicates a need for further teaching about safe medication use during pregnancy.
Choice B rationale
Reducing stress is beneficial during pregnancy and shows an understanding of healthy gestational changes. Stress management can positively impact maternal and fetal health.
Choice C rationale
Monitoring weight gain during pregnancy is important for maternal and fetal health. Appropriate weight gain supports healthy development and reduces the risk of complications.
Choice D rationale
Consulting with a doctor before using home remedies for nausea is a good practice. It ensures that the remedies are safe and appropriate for use during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.
Choice B rationale
Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.
Choice C rationale
Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.
Choice D rationale
Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.
Correct Answer is D
Explanation
Choice A rationale
In pregestational type 1 diabetes mellitus, insulin needs typically decrease during the first trimester due to increased insulin sensitivity and decreased food intake from nausea and vomiting, not an increased dosage.
Choice B rationale
Hypotension is not a typical finding associated with pregestational type 1 diabetes mellitus. Instead, hyperglycemia and its complications, such as ketoacidosis, are more relevant concerns.
Choice C rationale
While weight gain is monitored in diabetic pregnancies, excessive weight gain is not a specific condition associated with pregestational type 1 diabetes mellitus. Weight management should be appropriate to avoid complications.
Choice D rationale
Polyphagia, or increased hunger, is a symptom associated with diabetes mellitus due to the body's inability to properly utilize glucose, leading to increased appetite and higher blood glucose levels.
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