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A nurse is reinforcing teaching about nutrition with a client who is pregnant and has hyperemesis gravidarum at home.
Which of the following statements indicates that the client understands the teaching?

A.

"I will eat every 6 hours throughout the day.”.

B.

"I will drink water with my meals.”.

C.

"I will limit my protein intake.”.

D.

"I will eat crackers before I get out of bed in the morning.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

The statement, "I will eat every 6 hours throughout the day," is not the best approach for a client with hyperemesis gravidarum. Eating at regular intervals may not be well-tolerated in this condition, as frequent nausea and vomiting can make it challenging to keep food down.

Choice B rationale:

The statement, "I will drink water with my meals," is generally a good practice during pregnancy to stay hydrated. However, for a client with hyperemesis gravidarum, it may be advisable to separate fluid intake from meals to minimize the risk of triggering nausea.

Choice C rationale:

The statement, "I will limit my protein intake," is not a recommended approach, especially for a pregnant client. Protein is essential for fetal development, and limiting protein intake may not provide adequate nutrition for the growing fetus.

Choice D rationale:

The statement, "I will eat crackers before I get out of bed in the morning," is a good strategy for managing morning sickness, which is common in pregnancy. Eating plain crackers before getting out of bed can help alleviate nausea and stabilize blood sugar levels.


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Related Questions

Correct Answer is B

Explanation

To calculate the estimated date of delivery (EDD) using Naegele’s rule, the nurse would:

  1. Add one year to the year of the last menstrual period (LMP).
  2. Subtract three months from the month of the LMP.
  3. Add seven days to the day of the LMP.

Given the first day of the client’s last menstrual period was April 4, 2023:

  1. Adding one year: April 4, 2024
  2. Subtracting three months: January 4, 2024
  3. Adding seven days: January 11, 2024

So, the nurse should tell the client that her estimated date of delivery (EDD) isJanuary 11, 2024.

Correct Answer is ["C","E"]

Explanation

A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply.) The correct answers are choices C and E: Cracked, peeling skin and Vernix in the folds and creases.

Choice A rationale:

The Moro reflex is a normal neonatal reflex that can be observed in newborns at term or preterm, not specifically in post-term newborns. It is characterized by the baby's response to a sudden loss of support, which causes them to startle, throw their arms out, and cry. This reflex is not unique to post-term newborns.

Choice B rationale:

The heel to ear maneuverability is not a typical finding in newborn assessments. It is not related to the term or post-term status of the newborn. Therefore, this choice is not applicable.

Choice C rationale:

Cracked, peeling skin is a common finding in post-term newborns. Post-term babies have been in the womb for a longer duration, which can lead to changes in the condition of their skin, including peeling and cracking. This is due to prolonged exposure to amniotic fluid and the protective vernix diminishing.

Choice D rationale:

Abundant lanugo is more commonly found in preterm or premature newborns. As babies approach their due date and beyond, they tend to shed this fine, downy hair. Therefore, this choice is not applicable to post-term newborns.

Choice E rationale:

Vernix in the folds and creases is a characteristic finding in post-term newborns. Vernix is a white, waxy substance that coats the skin of newborns. In post-term babies, this vernix may be found in the folds and creases of their skin, as they have had more time in the womb for it to accumulate.

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