A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

Have a high-fat snack before going to bed.

Limit snacks between meals.

Drink 240 mL (8 oz) of water with each meal.

Eat a slice of dry toast before getting out of bed.

Answer and Explanation

The Correct Answer is D

A)   Incorrect- Having a high-fat snack before bed might exacerbate nausea. It's generally recommended to have a light snack if needed.
B)   Incorrect- Eating small, frequent snacks between meals can help manage nausea by preventing an empty stomach.
C)   Incorrect- Drinking water with meals might not necessarily help with nausea and might worsen the feeling of fullness.
D)   Correct - "Eat a slice of dry toast before getting out of bed" can help alleviate morning sickness in the first trimester. Eating a small, bland snack before rising can prevent an empty stomach, which can contribute to nausea.

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Correct Answer is A

Explanation

A) Correct - Monitoring for infection is an appropriate nursing intervention for a client whose membranes have ruptured, as there is an increased risk of infection after the amniotic sac has ruptured for an extended period.
B) Incorrect- Positioning the client supine is not generally recommended for a client in labor, especially if the client's membranes have ruptured.
C) Incorrect- Obtaining consent for a cesarean birth is not indicated solely based on the information provided.
D) Incorrect- Preparing for a forceps delivery is not indicated solely based on the information provided.

A. Instruct the client that oxytocin is administered during the procedure. B. Inform the client that this procedure assists in indicating Down syndrome. C. Assist the client to a lateral tilt position prior to the procedure. D. Ensure the client has been NPO for 6 hr prior to the procedure.

Correct Answer is C

Explanation

A) Incorrect- Oxytocin is not typically administered during a nonstress test.

B) Incorrect- A nonstress test is used to assess fetal well-being and does not indicate Down syndrome.
C) Correct - A lateral tilt position (usually left lateral tilt) is recommended during a nonstress test to prevent compression of the vena cava and maintain proper blood flow to the uterus, which can optimize fetal heart rate monitoring.
D) Incorrect- NPO status is not typically required for a nonstress test. Nonstress tests are non-invasive and do not involve fasting.

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A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 34 weeks of gestation and is preparing to undergo a nonstress test. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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