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. Estrogen plays a role in the development of the uterus and regulation of menstrual cycles, but it does not primarily reduce uterine contractions.

B. Testosterone is a male hormone and does not play a significant role in preventing uterine contractions during pregnancy.

C. Aldosterone helps regulate fluid balance and blood pressure, but it is not responsible for reducing uterine contractions during pregnancy.

D. Progesterone is the hormone primarily responsible for maintaining pregnancy by inhibiting uterine contractions, promoting uterine relaxation, and supporting the early stages of pregnancy. It plays a critical role in preventing spontaneous abortion, especially in early pregnancy.

A. Prior to giving birth B. Two weeks before attempting pregnancy again C. When she does not desire future pregnancies D. Prior to discharge from the hospital after giving birth

Correct Answer is C

Explanation

A. Prior to giving birth: Live vaccines, such as MMR, are contraindicated during pregnancy due to the risk of harm to the fetus.
B. Two weeks before attempting pregnancy again: After receiving the MMR vaccine, a woman should wait at least 1 month (not 2 weeks) before attempting conception to prevent fetal exposure to the live virus.
C. When she does not desire future pregnancies: This would unnecessarily delay protection against rubella, which could pose a risk in future exposures or pregnancies.
D. Prior to discharge from the hospital after giving birth: This is the correct time to administer the MMR vaccine. It ensures the woman receives immunity before leaving the hospital and protects future pregnancies from congenital rubella syndrome.

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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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Which maternal hormone reduces uterine contractions to prevent spontaneous abortions?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about immunizations with a woman in her first trimester of pregnancy whose diagnostic testing indicates she does not have immunity to rubella. The nurse should recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following times?

Correct Answer is C

Explanation

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