A nurse is teaching a client about iron supplementation during pregnancy.
Which of the following client statements indicates an understanding of the teaching?
"I will take this supplement with 8 ounces of milk.”.
"I will double my dose if I forget to take my supplement.”.
"I will be certain to consume 28 grams of fiber daily.”.
"I will take 100 milligrams of vitamin K per day while taking this supplement.”.
The Correct Answer is C
Choice A rationale
Consuming milk with iron supplements significantly inhibits iron absorption due to the high calcium content in milk. Calcium competes with iron for absorption sites in the small intestine, forming insoluble complexes that reduce the bioavailability of iron. This would counteract the intended therapeutic effect of the iron supplementation, leading to suboptimal iron levels.
Choice B rationale
Doubling an iron dose can lead to iron toxicity, which is dangerous, especially during pregnancy. Excessive iron intake can cause gastrointestinal distress, liver damage, and metabolic acidosis. Adhering to the prescribed dosage is crucial for safe and effective supplementation, preventing adverse effects while achieving therapeutic iron levels.
Choice C rationale
Maintaining adequate fiber intake (normal range 25-30 grams daily) is crucial during iron supplementation. Iron often causes constipation due to its effect on gastrointestinal motility. Dietary fiber adds bulk to stool, promoting regular bowel movements and alleviating constipation, which is a common and uncomfortable side effect of iron therapy.
Choice D rationale
Vitamin K is essential for blood coagulation, but taking 100 milligrams daily during pregnancy without a specific medical indication is excessive and potentially harmful. The normal recommended daily allowance for vitamin K during pregnancy is much lower, around 90 micrograms. High doses could interfere with anticoagulant medications or have unknown fetal effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Variable decelerations are typically caused by umbilical cord compression, which can occur in various obstetric scenarios but are not a specific expected finding for placenta previa. In placenta previa, the primary issue is placental implantation over or near the cervical os, leading to distinct clinical manifestations.
Choice B rationale
Painless vaginal bleeding is the hallmark clinical finding of placenta previa. This occurs because the placenta is implanted in the lower uterine segment, potentially covering the internal cervical os. As the cervix effaces or dilates, the placenta separates from the uterine wall, leading to bleeding without the associated pain of uterine contractions.
Choice C rationale
A rigid abdomen is a classic sign of abruptio placentae, where the placenta prematurely detaches from the uterine wall. This causes internal bleeding and uterine spasm, leading to a board-like, tender abdomen, which is distinct from the typical presentation of placenta previa.
Choice D rationale
Uterine tachysystole, characterized by excessive uterine contractions, is a common finding in conditions like abruptio placentae or during labor induction. It is not typically associated with placenta previa, where the primary concern is the placental position and the risk of hemorrhage rather than abnormal contraction patterns.
Correct Answer is ["D"]
Explanation
This scenario requires applying knowledge of live-virus vaccines and maternal health safety. Understanding the contraindications and safe practices regarding the rubella vaccine is vital to prevent teratogenic effects on a future fetus while supporting postpartum recovery and the nutritional needs of the newborn through breastfeeding.
Choice A rationale: The rubella immunization is typically administered as a single dose in the postpartum period to provide long-term immunity. It is not given as a series with a second dose two weeks later; the goal is to achieve lifelong protection with one injection.
Choice B rationale: The recommendation for avoiding pregnancy after receiving a live-virus rubella vaccine is at least 28 days or 1 month. Advising a 4-month delay is inaccurate based on current evidence-based guidelines and may cause unnecessary concern for the client regarding future family planning.
Choice C rationale: Live-virus vaccines, including rubella, are strictly contraindicated during pregnancy because of the risk of congenital rubella syndrome in the fetus. A client should never receive this immunization during the first trimester or any other stage of a future pregnancy.
Choice D rationale: The rubella vaccine is a live, attenuated virus, but it is not transmitted through breast milk in a way that harms the infant. Therefore, breastfeeding is completely safe and encouraged after the mother receives her immunization in the postpartum unit.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.