A nurse is teaching a client who is 8 weeks of gestation about healthy lifestyle practices during pregnancy. Which of the following client statements indicate an understanding of the teaching?

I will start a ketogenic low-carbohydrate high-fat diet.

I will drink at least 6 glasses of water per day.

I will increase my calorie intake by 1,000 calories per day.

I will take a prenatal vitamin daily.

Answer and Explanation

The Correct Answer is D

A. A ketogenic diet is not recommended during pregnancy, as carbohydrates are essential for fetal growth and energy. Adequate, balanced nutrition is key during pregnancy.

B. While water intake is important, pregnant clients are advised to drink 8–10 glasses of water daily to support increased blood volume and amniotic fluid. Six glasses would be insufficient.

C. An additional 1,000 calories per day is excessive for early pregnancy. During the first trimester, the calorie increase is minimal (approximately 150–200 calories), with more significant increases later in pregnancy.

D. Taking a prenatal vitamin daily ensures adequate intake of essential nutrients like folic acid and iron, which are critical for preventing neural tube defects and supporting maternal health.

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Correct Answer is D

Explanation

A. Parity refers to the number of pregnancies carried to at least 20 weeks, not the total number of pregnancies. This client has had only one pregnancy (the twin birth) that reached this threshold.

B. Five refers to the total pregnancies, including those ending in miscarriage or abortion, which is not relevant to parity calculation.

C. Three does not reflect parity correctly since only one pregnancy was carried beyond 20 weeks.

Parity is documented as 1 because the twin pregnancy was carried to 36 weeks, while the others ended before 20 weeks. Twins or multiples count as one event for parity purposes.

A. "Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won't be so bothersome." B. "There is no way to predict how long it will last for each individual client so you just have to wait and see." C. "No, it should only last until about your 12th week, but it will return near the end of the pregnancy." D. "No, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone."

Correct Answer is C

Explanation

A. Decreasing fluid intake, especially during pregnancy, is not advisable as it can lead to dehydration and other complications.

B. While urinary frequency varies between individuals, it follows predictable patterns during pregnancy, influenced by hormonal and anatomical changes.

C. Increased urinary frequency is common in the first trimester due to hormonal changes and uterine growth but typically decreases by the second trimester. It often returns in the third trimester when the enlarging uterus exerts pressure on the bladder.

D. Poor bladder tone is not a standard explanation for continued urinary frequency during pregnancy; hormonal and anatomical factors are the primary causes.

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A nurse is teaching a client who is 8 weeks of gestation about healthy lifestyle practices during pregnancy. Which of the following client statements indicate an understanding of the teaching?

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Correct Answer is D

Explanation

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Correct Answer is C

Explanation

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