A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.
After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?

Concerns about parenting.

Cultural practices related to childbearing.

Complications associated with childbirth.

Knowledge about labor and delivery.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Concerns about parenting. While concerns about parenting are important to address during prenatal care, the initial visit focuses on gathering essential information and providing education related to pregnancy and childbirth. Knowledge about labor and delivery is crucial for the client to understand the process and make informed decisions.

Choice B rationale:

Cultural practices related to childbearing. Cultural practices related to childbearing are also essential topics to discuss during prenatal care, but they may not be the highest priority at the initial visit. Understanding the client's cultural background and beliefs is important, but providing information about pregnancy and childbirth should take precedence during the first prenatal visit.

Choice C rationale:

Complications associated with childbirth. Discussing complications associated with childbirth is important, but it may be overwhelming for a client during the initial prenatal visit. The primary focus should be on providing basic information and addressing immediate questions and concerns, with more in-depth discussions about complications occurring in subsequent visits.

Choice D rationale:

Knowledge about labor and delivery. This is the correct choice because the initial prenatal visit should include education about pregnancy, labor, and delivery. Providing the client with essential knowledge about what to expect during labor and delivery empowers her to make informed decisions and plan for her childbirth experience.

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Correct Answer is B

Explanation

Choice A rationale:

Exenatide does not work in the same way as insulin in lowering blood glucose levels. Exenatide is a glucagon-like peptide-1 receptor agonist (GLP-1 agonist) that works by stimulating insulin secretion in response to elevated blood glucose levels, slowing gastric emptying, and suppressing glucagon release. It does not act like exogenous insulin.

Choice B rationale:

Injecting exenatide within 30 minutes before or after a meal is the correct instruction. This timing is essential because exenatide works best when it is coordinated with meals to help control post-meal blood glucose spikes.

Choice C rationale:

There are precautions about taking exenatide with other medications. It is important for the client to discuss all medications, including potential interactions, with their healthcare provider. Some medications may need to be adjusted when taken with exenatide.

Choice D rationale:

Notifying the healthcare provider if abdominal pain occurs is a valid instruction. Exenatide can sometimes cause gastrointestinal side effects, including abdominal pain. It is essential for the client to report any adverse effects to their healthcare provider for appropriate management.

A. Decreasing gastrointestinal (GI) cramping and nausea. B. Chest pain and dysrhythmia. C. Vasodilation of the extremities. D. Hypotension and tachycardia.

Correct Answer is B

Explanation

The correct answer is choiceb. Chest pain and dysrhythmia.

Choice A rationale:

Decreasing gastrointestinal (GI) cramping and nausea are not typical adverse effects of vasopressin.In fact, vasopressin can cause abdominal cramps and nausea as side effects.

Choice B rationale:

Chest pain and dysrhythmia are significant adverse effects of vasopressin.Vasopressin can cause vasoconstriction, leading to myocardial ischemia and arrhythmias.

Choice C rationale:

Vasodilation of the extremities is not an adverse effect of vasopressin.Instead, vasopressin typically causes vasoconstriction, which can lead to peripheral ischemia.

Choice D rationale:

Hypotension and tachycardia are not common adverse effects of vasopressin.Vasopressin is more likely to cause hypertension due to its vasoconstrictive properties.

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A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A woman at 12 weeks' gestation comes to the clinic for her first prenatal visit.
After completing a health history, the nurse should discuss which topic about pregnancy at this initial visit?