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 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.

A. "A decrease in saliva production may aggravate the disorder." B. "Decreasing gastric secretions lead to increased nausea." C. "An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder." D. "Symptoms begin and are most severe during the second trimester of pregnancy."

Correct Answer is C

Explanation

A. A decrease in saliva production may aggravate the disorder is not correct. In fact, hyperemesis gravidarum is often associated with an increase in saliva production (ptyalism) rather than a decrease.

B. Decreasing gastric secretions lead to increased nausea is inaccurate. The issue in hyperemesis gravidarum is typically an increase in nausea and vomiting, not a direct link to decreased gastric secretions.

C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Elevated hCG levels are thought to play a role in the development of hyperemesis gravidarum, as they may contribute to increased nausea and vomiting.

D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically starts in the first trimester and can persist beyond that if not managed. Symptoms do not usually peak in the second trimester.

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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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Naxlex Comprehensive Predictor Exams

The tissue between the vaginal opening and the anus is known as the

Correct Answer is C

Explanation

A nurse is reinforcing teaching of a newly licensed nurse about hyperemesis gravidarum. Which of the following statements by the newly licensed nurse indicates the reinforced teaching was effective?

Correct Answer is C

Explanation

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