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. Sudden gush of fluid from the vagina B. Abdominal pain C. Ballotement D. Quickening vaginal bleeding

Correct Answer is A

Explanation

Choice A rationale
A sudden gush of fluid from the vagina could indicate premature rupture of membranes, which is a condition where the amniotic sac breaks before labor begins. This is a serious condition that requires immediate medical attention. Therefore, if a client mentions this symptom, it indicates that she understands the information given to her.
Choice B rationale
While abdominal pain can be a symptom of various conditions during pregnancy, it is not specific and can be caused by non-pregnancy related issues as well. Therefore, mentioning this symptom does not necessarily indicate understanding of pregnancy-specific symptoms to report.
Choice C rationale
Ballottement is a technique used by healthcare providers to assess pregnancy. It involves pushing against the uterus and feeling for the rebound of the fetus. This is not a symptom that a pregnant woman would report.
Choice D rationale
Quickening refers to the first movements of the fetus felt by the pregnant woman, usually between 18 and 25 weeks of gestation. While it is an important milestone in pregnancy, it is not a symptom to report to healthcare providers.

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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.)

Nursing Test Bank

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

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?

Correct Answer is A

Explanation

A nurse in a prenatal clinic is caring for a client who wants to know her estimated date of delivery if her last menstrual period was on May 4, 2022. What should the nurse respond?

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

A nurse is caring for a client who is in her first trimester of pregnancy and is wondering if she can continue to exercise during pregnancy. Which of the following responses by the nurse would be appropriate?

During a care conference, a nurse provides everyone with a copy of the latest research on improving the success of breastfeeding for first-time mothers. Which Quality and Safety Education for Nurses competency does this nurse’s action support?

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. Where should the nurse expect to palpate the fundus?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. What should the nurse respond?

A nurse is educating a client who has a positive pregnancy test about common discomforts in the first trimester of pregnancy and warning signs of potential danger. Which of the following manifestations should the nurse instruct the client to report to the clinic?

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?

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.)