A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

Explanation:

A. "I should drink about 2 liters of fluid each day."

This statement is generally accurate and aligned with recommendations for adequate hydration during pregnancy. The recommended daily fluid intake for pregnant individuals is typically around 8 to 10 cups of fluids per day, which is approximately 2 liters. Adequate hydration is important during pregnancy to support overall health, prevent dehydration, and maintain proper functioning of bodily systems.

B. "I can have a moderate amount of caffeine daily."

This statement is generally acceptable and aligned with guidelines from organizations such as the American College of Obstetricians and Gynecologists (ACOG). Moderate caffeine intake, typically defined as up to 200 milligrams per day, is considered safe during pregnancy for most individuals. However, it's essential to be mindful of caffeine sources and consume them in moderation, as excessive caffeine intake can have adverse effects on pregnancy outcomes.

C. "I should not drink alcoholic beverages during my pregnancy."

This statement is correct and crucial for a healthy pregnancy. Alcohol consumption during pregnancy is associated with various risks, including fetal alcohol spectrum disorders (FASDs) and developmental issues. Therefore, healthcare providers universally recommend abstaining from alcohol entirely during pregnancy to protect the health and well-being of both the mother and the developing baby.

D. "I should increase my calcium intake to 1,500 milligrams per day."

This statement indicates a need for clarification because the recommended daily intake of calcium during pregnancy is typically around 1,000 milligrams per day for most pregnant individuals. While some healthcare providers may recommend slightly higher amounts, such as up to 1,300 milligrams per day, a calcium intake of 1,500 milligrams per day is relatively high and may not align with standard recommendations without specific indications such as a history of low calcium levels or certain medical conditions. It's important for the nurse to clarify and provide accurate information regarding appropriate calcium intake during pregnancy based on the client's individual needs.

Explanation:

A. "Don't worry. You will be fine once the baby is born."

This response may inadvertently dismiss the client's feelings of doubt and uncertainty. It assumes that the client's concerns will automatically resolve after childbirth, which may not be the case for everyone. It lacks acknowledgment of the client's current emotional state and does not offer meaningful support or guidance.

B. "Ambivalent feelings are quite common for women early in pregnancy."

This response acknowledges the client's feelings of doubt and uncertainty as valid and common experiences during early pregnancy. It normalizes her emotions, letting her know that she is not alone in feeling this way. By providing this validation, the nurse creates a supportive environment where the client can feel understood and accepted.

C. "Perhaps you should see a counselor to discuss these feelings further."

Suggesting counseling is a proactive and supportive approach. It recognizes that the client's emotions are complex and may benefit from professional guidance. Counseling offers a safe space for the client to explore her feelings, understand their root causes, and develop coping strategies. It demonstrates the nurse's commitment to the client's emotional well-being and encourages seeking help when needed.

D. "Have you spoken to your mother about these feelings?"

While seeking support from family members can be valuable, this response may not fully address the client's emotional needs. It assumes that talking to her mother will automatically resolve her concerns, which may not always be the case. Additionally, some clients may prefer discussing sensitive issues with a neutral third party or a trained counselor who can offer unbiased support and guidance.