A pregnant woman in the 36th week of gestation reports that her feet are quite swollen at the end of the day. After careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. Which intervention is appropriate for the nurse to suggest?
Wear spandex-type full-length pants
Try elevating your legs when you sit
Limit your intake of fluids
Eliminate salt from your diet
The Correct Answer is B
Choice A Reason: This is incorrect because wearing spandex-type full-length pants can constrict the blood flow and increase the swelling in the feet. The nurse should advise the woman to wear loose-fitting clothes and comfortable shoes that do not squeeze or rub her feet.
Choice B Reason: This is correct because elevating the legs when sitting can improve venous return and reduce the swelling in the feet. The nurse should encourage the woman to elevate her legs above her heart level whenever possible and avoid crossing her legs or standing for long periods.
Choice C Reason: This is incorrect because limiting the intake of fluids can cause dehydration and worsen the swelling in the feet. The nurse should recommend the woman drink plenty of water and other healthy fluids to maintain hydration and flush out excess sodium and waste products from her body.
Choice D Reason: This is incorrect because eliminating salt from the diet can cause electrolyte imbalance and affect the fluid balance in the body. The nurse should advise the woman to consume salt in moderation and avoid processed foods that are high in sodium.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason: This is incorrect because cervical insufficiency is a condition where the cervix dilates prematurely and painlessly during pregnancy, leading to preterm delivery or second trimester abortion. It is not a common cause of first trimester abortion, which occurs before 12 weeks of gestation.
Choice B Reason: This is incorrect because uterine fibroids are benign tumors that grow in or on the uterus. They may cause heavy bleeding, pain, or infertility, but they are not a common cause of first trimester abortion. They may increase the risk of miscarriage in later stages of pregnancy.
Choice C Reason: This is correct because fetal genetic abnormalities are the most common cause of first trimester abortion, accounting for up to 70% of cases. Fetal genetic abnormalities are errors in the number or structure of chromosomes that occur during fertilization or cell division. They can cause developmental defects or fetal demise that result in spontaneous abortion.
Choice D Reason: This is incorrect because maternal disease is not a common cause of first trimester abortion. Maternal disease refers to any medical condition that affects the mother's health or pregnancy outcome, such as diabetes, hypertension, thyroid disorders, or infections. Maternal disease may increase the risk of miscarriage in later stages of pregnancy or cause other complications such as preterm labor or preeclampsia.
Correct Answer is C
Explanation
Choice A Reason: This is incorrect because mosquitoes do not transmit HIV. HIV is a virus that infects human cells and cannot survive in insects. Mosquitoes do not inject blood from one person to another when they bite, but only saliva that contains anticoagulants and enzymes.
Choice B Reason: This is incorrect because accidental puncture wounds are not a common mode of HIV transmission. HIV can be transmitted through exposure to infected blood or body fluids, such as through needle sharing, blood transfusion, or occupational injury. However, these cases are rare and can be prevented by using sterile equipment, screening blood products, and following universal precautions.
Choice C Reason: This is correct because sexual contact is the most common mode of HIV transmission. HIV can be transmitted through unprotected vaginal, anal, or oral sex with an infected person, as these activities can involve contact with infected blood, semen, vaginal fluid, or pre-ejaculate.
Choice D Reason: This is incorrect because respiratory droplets do not transmit HIV. HIV is not an airborne virus and cannot be spread by coughing, sneezing, or breathing. HIV cannot be transmitted by casual contact, such as hugging, kissing, or sharing utensils.
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