During an annual gynecological check-up, a woman informs the nurse that she and her partner are planning to conceive soon.

What recommendations should the nurse make for a healthy pregnancy? (Select all that apply.)

Abstain from all alcohol consumption.

Maintain a nutritious diet rich in fruits and vegetables.

Cease smoking immediately.

Incorporate cardiovascular exercises into her workout routine.

If working more than 40 hours per week, consider reducing work hours.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale
Abstaining from all alcohol consumption is a key recommendation for a healthy pregnancy. Alcohol can cause a range of developmental problems in the fetus, including fetal alcohol syndrome. Therefore, it’s best to avoid alcohol entirely during pregnancy.
Choice B rationale
Maintaining a nutritious diet rich in fruits and vegetables is essential for a healthy pregnancy. A balanced diet ensures that the mother and baby get the necessary nutrients for healthy growth and development.
Choice C rationale
Ceasing smoking immediately is another important recommendation for a healthy pregnancy. Smoking during pregnancy can lead to a variety of health problems for the baby, including premature birth, low birth weight, and sudden infant death syndrome.
Choice D rationale
Incorporating cardiovascular exercises into her workout routine is beneficial during pregnancy. Regular, moderate-intensity exercise can help manage weight gain, improve mood, and reduce pregnancy-related discomforts such as back pain and fatigue.

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Correct Answer is C

Explanation

Choice A rationale
A positive pregnancy test is a probable sign of pregnancy, not a presumptive one. Probable signs are observed by the healthcare provider and are strongly suggestive of pregnancy but could be caused by other conditions.
Choice B rationale
Cervical softening, also known as Goodell’s sign, is a probable sign of pregnancy that occurs around the 6-8th week of gestation. It is observed by the healthcare provider during a physical examination.
Choice C rationale
Amenorrhea, or the absence of menstruation, is a presumptive sign of pregnancy. Presumptive signs are those experienced by the woman, such as amenorrhea, fatigue, and increased urination. However, these signs are not definitive proof of pregnancy as they could be caused by other conditions.
Choice D rationale
A violet coloration of the vagina, known as Chadwick’s sign, is a probable sign of pregnancy that occurs around the 4th week of gestation due to increased blood flow. It is observed by the healthcare provider during a physical examination.

A. “It would be best if you gained about 11 to 20 pounds.”. B. “A gain of about a pound per week is the best pattern for you.”. C. “The recommendation for you is about 15 to 25 pounds.”. D. “A gain of about 25 to 35 pounds is recommended for you.”.

Correct Answer is C

Explanation

Choice A rationale
The recommended weight gain for a pregnant woman depends on her pre-pregnancy BMI. For a woman who is underweight (BMI < 18.5), the recommended weight gain is about 28-40 pounds. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Choice B rationale
While it’s true that weight gain should be gradual during pregnancy, a gain of about a pound per week is not a specific recommendation for a woman with a BMI of 26.54.
Choice C rationale
For a woman who is overweight before pregnancy (BMI 25.0-29.9), the recommended weight gain is about 15 to 25 pounds. Therefore, this choice is the most appropriate for a woman with a BMI of 26.5.
Choice D rationale
The recommendation of a weight gain of about 25 to 35 pounds is for women who had a normal weight (BMI 18.5-24.9) before pregnancy. Therefore, this choice is not applicable for a woman with a BMI of 26.5.

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During an annual gynecological check-up, a woman informs the nurse that she and her partner are planning to conceive soon. What recommendations should the nurse make for a healthy pregnancy? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A patient makes an appointment at the prenatal clinic because she believes she might be pregnant. Which assessment should the nurse identify as a presumptive sign of pregnancy?

Correct Answer is C

Explanation

A nurse is attending to a client during her first prenatal visit. The client, who has a BMI of 26.5, is curious about the amount of weight she should gain during her pregnancy. What should the nurse’s response be?

Correct Answer is C

Explanation

A nurse is considering contraceptive options for four patients. Which patient should the nurse identify as having a contraindication for oral contraceptives?

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

When teaching an adolescent about ovulation, the nurse would include that ovulation is initiated by a surge in which hormone?

A woman visits the family planning clinic to request a prescription for birth control pills. Which factor would indicate that an ovulation suppressant would not be the best contraceptive method for her?

When assessing a client’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the client comprehends the information given to her?

A nurse is teaching about fetal development to a group of clients in the antenatal clinic. Which of the following statements should the nurse include in the teaching?

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should be included in the teaching?

A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?

During an annual gynecological check-up, a woman informs the nurse that she and her partner are planning to conceive soon.

What recommendations should the nurse make for a healthy pregnancy? (Select all that apply.)