A pregnant client tells the nurse that she only eats a plant-based diet.
How should the nurse counsel this client?

It is important that we refer you to a nutritionist to discuss your eating disorder.

Let's discuss how we can ensure adequate caloric intake and proper nutrients during your pregnancy.

Your newborn is at high risk for developing complications.

It is important that you incorporate meat products into your diet for protein during your pregnancy.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A plant-based diet is not an eating disorder. It is a lifestyle choice, and many people maintain good health with such diets, especially with proper nutritional planning.

Choice B rationale

Proper counseling can help ensure that the pregnant client receives adequate calories and nutrients, which is crucial for the health of both the mother and the developing baby. A balanced diet can be achieved with plant-based foods.

Choice C rationale

While certain nutrients may be more challenging to obtain from a plant-based diet, it doesn't inherently put the newborn at high risk for complications if the diet is well-planned and balanced.

Choice D rationale

It is possible to obtain all necessary proteins from plant-based sources. Incorporating a variety of plant proteins can provide the necessary amino acids for both the mother and developing baby.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Choice A Rationale

Administer azithromycin 1 g PO one time: Anticipated. Azithromycin is commonly used to treat chlamydia infections during pregnancy and is considered safe.

Choice B Rationale

Administer ibuprofen 600 mg PO twice a day for pain: Contraindicated. Ibuprofen is generally avoided during pregnancy, especially in the third trimester, due to risks such as premature closure of the fetal ductus arteriosus.

Choice C Rationale

Notify all sexual partners within prior 30 days of the need for STI screening: Anticipated. Notification of sexual partners for STI screening is a standard public health practice to prevent the spread of infections.

Choice D Rationale

Administer ceftriaxone 250 mg IM now: Anticipated. Ceftriaxone is often used to treat gonorrhea infections during pregnancy and is considered safe for both mother and fetus.

Choice E Rationale

Repeat STI screening at next prenatal visit in 1 month: Anticipated. Repeating STI screening can help ensure that any new or untreated infections are identified and managed appropriately.

Choice F Rationale

Notify the appropriate public health agency: Anticipated. Reporting certain STIs to public health agencies is required by law to help track and control the spread of infections.

A. A. "I need to be immunized against syphilis because there is no cure.”. B. "I can change the cat litter as long as I wear gloves.”. C. "The best way to prevent CMV is by thorough and consistent hand hygiene.”. D. "If my RPR is low, I will need a rubella vaccine at delivery.”.

Correct Answer is C

Explanation

Choice A rationale

Syphilis can be treated with antibiotics, particularly penicillin. It is not true that there is no cure, and immunization against syphilis is not available. Proper treatment can prevent transmission to the fetus.

Choice B rationale

Changing cat litter, even with gloves, is not safe for pregnant women due to the risk of toxoplasmosis. Toxoplasmosis can cause serious complications in the fetus, and direct contact with cat feces should be avoided.

Choice C rationale

The best way to prevent CMV (cytomegalovirus) infection is through thorough and consistent hand hygiene. CMV is a common virus that can cause congenital infections, and hygiene practices are crucial for prevention.

Choice D rationale

RPR (Rapid Plasma Reagin) tests for syphilis, not rubella. A rubella vaccine would be needed if the mother is non-immune, but this would be administered post-delivery. The statement reflects a misunderstanding of the tests and vaccines.

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A pregnant client tells the nurse that she only eats a plant-based diet.How should the nurse counsel this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

Which statement by the pregnant client indicates to the nurse an understanding of TORCH infections?

Correct Answer is C

Explanation

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A pregnant client tells the nurse that she only eats a plant-based diet.
How should the nurse counsel this client?