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A pregnant patient enjoys exercising at a local health spa once a week.
Which patient comment indicates to the nurse that more health teaching is needed?

I will limit exercising to low-impact aerobics.

I will swim in the pool because this is considered a safe exercise for me.

I will walk around the indoor track.

I only go to the spa to sit in the sauna in the morning.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Limiting exercise to low-impact aerobics is safe and suitable for pregnant women.

Choice B rationale

Swimming is considered a safe and beneficial exercise during pregnancy.

Choice C rationale

Walking is a recommended form of exercise for pregnant women.

Choice D rationale

Sitting in a sauna is not advised during pregnancy due to risks of overheating and dehydration. .

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Correct Answer is C

Explanation

Choice A rationale

The sex of the fetus can be determined earlier through ultrasound or blood tests, making amniocentesis at 36 weeks unnecessary for this purpose.

Choice B rationale

Detection of metabolic disorders can also be done earlier in the pregnancy through other tests. Amniocentesis at 36 weeks is not typically used for this purpose.

Choice C rationale

Determining fetal lung maturity is a primary reason for performing an amniocentesis at 36 weeks gestation. This test assesses whether the fetus's lungs are developed enough for the baby to breathe independently after birth.

Choice D rationale

Identification of abnormal fetal cells can be done earlier in pregnancy through amniocentesis or other genetic tests. It is not the primary reason for amniocentesis at 36 weeks.

A. A soft lanugo hair protects the skin from exposure to the amniotic fluid. B. We will apply cream to the baby's skin after delivery to make it smooth and soft. C. The baby's skin is covered with a protective fatty substance called vernix caseosa. D. There is a thick layer of subcutaneous fat on the baby so the water doesn't harm the skin.

Correct Answer is C

Explanation

Choice A rationale

Lanugo is a fine hair that covers the fetus but does not primarily protect the skin from amniotic fluid exposure. It mainly helps in thermoregulation and the adherence of the vernix caseosa.

Choice B rationale

While skin care after birth is important, applying cream post-delivery does not explain why the skin is protected during gestation.

Choice C rationale

Vernix caseosa is a protective, cheese-like coating that covers the fetus's skin. It provides a barrier against the amniotic fluid, preventing maceration of the skin during the pregnancy.

Choice D rationale

Although subcutaneous fat develops in the fetus, it is not responsible for protecting the skin from amniotic fluid. The primary protective mechanism is the vernix caseosa.

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A pregnant patient enjoys exercising at a local health spa once a week.Which patient comment indicates to the nurse that more health teaching is needed?

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Naxlex Comprehensive Predictor Exams

The nurse instructs a pregnant client that the purpose of an amniocentesis at 36 weeks gestation is for:

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A pregnant patient enjoys exercising at a local health spa once a week.
Which patient comment indicates to the nurse that more health teaching is needed?