At a prenatal appointment, a 26-year-old client who is 20 weeks pregnant confides to you that they ingest laundry detergent, chalk and soap because of a craving they have had since adolescence. What would be your most appropriate action?
Emphasize the protein, vitamin, and iron needs of pregnancy nutrition
Kindly but firmly scold the client to discourage the habit
Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia
Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances
The Correct Answer is C
A. Emphasize the protein, vitamin, and iron needs of pregnancy nutrition: While emphasizing proper nutrition during pregnancy is important, this response does not directly address the client's current behavior or potential underlying health concerns related to pica.
B. Kindly but firmly scold the client to discourage the habit: Scolding the client is not an appropriate or effective approach. A non-judgmental, supportive response is needed to encourage open communication about this habit and to explore potential underlying causes.
C. Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia: Pica, the craving for nonfood substances like detergent, chalk, and soap, is often associated with iron-deficiency anemia. It would be appropriate to suggest a hemoglobin assessment to check for anemia.
D. Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances: While it's important to discuss the risks of ingesting nonfood substances, it would be more helpful to address the potential underlying cause (iron deficiency) first and then discuss the hazards of pica in a supportive way.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Talk to the infant in a special way every day: While it is important to talk to the infant and engage with them, the emphasis should be on consistency, regular interaction, communication and responsiveness rather than just speaking in a special way.
B. Keep the infant stimulated with many toys: While providing toys for stimulation is helpful, the most critical aspect of development during the first year is emotional connection and security, which comes from consistent, responsive caregiving, not from many toys.
C. Respond to the infant consistently: Consistency in responding to the infant's needs fosters a sense of security and trust. It helps the infant develop a healthy attachment, which is a crucial developmental task in the first year.
D. Expose the infant to many caregivers to help the infant learn variability: Too many caregivers can lead to insecurity and confusion. It is important for infants to have stable, consistent caregivers in their early years to build trust and attachment.
Correct Answer is A
Explanation
A. Darkened, enlarged breast areola: During the first trimester of pregnancy, hormonal changes cause the areolas to darken and enlarge. This is a common and normal finding as the body prepares for breastfeeding.
B. Deeply fissured nipples: Fissured or cracked nipples are not typically observed in the first trimester of pregnancy. This may occur later when the breasts begin to produce milk, especially during breastfeeding.
C. Enlarged axillary lymph nodes: While some mild enlargement of lymph nodes may occur in response to hormonal changes, this is not a typical or significant finding during the first trimester. Any enlarged lymph nodes should be assessed to rule out other conditions.
D. Slack, soft breast tissue: Breast tissue during the first trimester tends to be firm and may feel more tender or swollen due to hormonal changes, rather than slack and soft. This is a normal part of early pregnancy as the body prepares for future lactation.
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