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 B

Explanation

A. A decrease in saliva production may aggravate the disorder is incorrect. While excessive salivation (ptyalism) is a symptom of hyperemesis gravidarum, a decrease in saliva production is not the primary factor contributing to the disorder.

B. Decreasing gastric secretions lead to increased nausea is incorrect. While nausea and vomiting are key features of hyperemesis gravidarum, the decrease in gastric secretions does not directly cause it. The disorder is typically associated with an increase in hCG, dehydration, and electrolyte imbalances.

C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Hyperemesis gravidarum is often linked to elevated levels of hCG, a hormone produced during pregnancy, which may lead to increased nausea and vomiting.

D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically presents in the first trimester and may improve after that, although severe cases can last longer.

A. "Women have all of their ova at the time they are born." B. "Women make fewer ova as they age." C. "Ova production begins at birth and continues until puberty." D. "New ova are made every month from puberty to climacteric."

Correct Answer is A

Explanation

A. Women have all of their ova at birth. Oogenesis, the process of egg development, occurs in the fetus, and women are born with all the eggs (ova) they will ever have. The number of eggs decreases over time.

B. Women make fewer ova as they age is correct in a sense, but the statement is misleading because the number of eggs actually decreases after birth, not through an ongoing process of "making fewer."

C. Ova production begins at birth and continues until puberty is incorrect. Ova are formed during fetal development, but no new eggs are produced after birth.

D. New ova are made every month from puberty to climacteric is incorrect. While ova mature and are released monthly during a woman's reproductive years, they are not newly made each month. The ovary contains a finite number of immature eggs at birth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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 B

Explanation

What statement indicates a woman has correct information about oogenesis?

Correct Answer is A

Explanation

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