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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The labia minora are inner folds of skin that enclose and protect the vaginal and urethral openings but are not located between the vaginal opening and the anus.
B. The labia majora are outer folds of skin that also protect the vaginal area but are located externally and not between the vaginal opening and the anus.
C. The perineum is the area of tissue between the vaginal opening and the anus, and it plays an important role in childbirth and pelvic support.
D. The vestibule is the region inside the labia minora that contains the openings to the urethra and vagina but does not extend to the area near the anus.
Correct Answer is B
Explanation
A. Blood pressure typically decreases slightly during the second trimester due to hormonal effects causing vasodilation, and it generally does not rise above pre-pregnancy levels in healthy pregnancies.
B. The heart rate increases by about 10 to 15 beats per minute to meet the increased oxygen demands of the growing fetus and placenta.
C. Blood viscosity does not increase during pregnancy; rather, the plasma volume expands significantly, leading to hemodilution and a decrease in blood viscosity.
D. Cardiac workload increases during pregnancy due to the expanded blood volume and increased cardiac output required to support maternal and fetal needs.
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