A nurse is reinforcing teaching about travel with a client who is pregnant.
Which of the following instructions should the nurse include?

Take a break and walk at least once every hour during long trips.

Wear the shoulder harness snug across your stomach.

Position the lap belt across your navel.

Move your car seat forward, close to the steering wheel.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Taking a break and walking at least once every hour during long trips helps improve circulation and reduces the risk of blood clots, which is particularly important during pregnancy.

Choice B rationale

Wearing the shoulder harness snug across the stomach is incorrect. The shoulder harness should be worn across the chest and between the breasts to avoid pressure on the abdomen.

Choice C rationale

Positioning the lap belt across the navel is incorrect. The lap belt should be placed under the belly, across the hips and pelvic bone, to avoid pressure on the uterus.

Choice D rationale

Moving the car seat forward, close to the steering wheel, is not recommended. Pregnant women should maintain a safe distance from the steering wheel to avoid injury in case of an accident.

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Correct Answer is A

Explanation

Choice A rationale

Eating dry, bland foods in the morning can help alleviate nausea by providing a gentle start to the digestive system. Bland foods like crackers or toast are less likely to irritate the stomach lining and can help absorb stomach acids, reducing the feeling of nausea.

Choice B rationale

Taking an over-the-counter antacid is not recommended for nausea during pregnancy unless prescribed by a healthcare provider. Antacids are typically used to neutralize stomach acid and relieve heartburn, not nausea.

Choice C rationale

Restricting fluids to 1,000 mL/day is not advisable as it can lead to dehydration. Adequate hydration is essential during pregnancy to support the increased blood volume and amniotic fluid.

Choice D rationale

Increasing the intake of fresh fruits is beneficial for overall health but may not specifically address nausea. Some fruits can be acidic and might worsen nausea in some individuals.

A. Amniotic fluid with meconium noted. B. Maternal temperature 38.3°C (101°F). C. Foul smelling vaginal discharge. D. Fetal heart tones 98/min.

Correct Answer is D

Explanation

Choice A rationale

Amniotic fluid with meconium noted can indicate fetal distress, but it is not the most immediate priority compared to fetal heart tones.

Choice B rationale

A maternal temperature of 38.3°C (101°F) can indicate infection, but it is not the most immediate priority compared to fetal heart tones.

Choice C rationale

Foul-smelling vaginal discharge can indicate infection, but it is not the most immediate priority compared to fetal heart tones.

Choice D rationale

Fetal heart tones of 98/min indicate fetal bradycardia, which is a sign of fetal distress and requires immediate intervention to ensure the well-being of the fetus.

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A nurse is reinforcing teaching about travel with a client who is pregnant.Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is reinforcing teaching about travel with a client who is pregnant.
Which of the following instructions should the nurse include?