During the initial prenatal visit, a nurse is educating a client.
Which statement from the client suggests that further clarification is needed?

I should increase my daily calcium intake to 1,500 milligrams.

I should consume about 2 liters of fluid each day.

I can consume a moderate amount of caffeine daily.

I should abstain from alcoholic beverages during my pregnancy.

Answer and Explanation

The Correct Answer is C

Choice C rationale

While moderate caffeine consumption is generally considered safe during pregnancy, it’s important to note that caffeine is a stimulant and can increase heart rate and blood pressure, which can potentially affect the baby. Some studies also suggest that high caffeine intake may increase the risk of preterm birth or low birth weight. Therefore, it’s often recommended that pregnant women limit their caffeine intake.

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Correct Answer is A

Explanation

Choice A rationale

The nurse should include in the teaching that a client who is 23 weeks pregnant can receive an influenza vaccination during pregnancy. This is because the influenza vaccine is safe and recommended for pregnant women to protect both the mother and the baby from the flu.

Choice B rationale

The rubella vaccine is a live vaccine and is not recommended during pregnancy or while breastfeeding due to the potential risk to the baby. However, it can be given immediately after delivery if the woman is not immune.

Choice C rationale

The varicella vaccine is also a live vaccine and is not recommended during pregnancy. It should be given before pregnancy or immediately after delivery if the woman is not immune.

Choice D rationale

The Tdap (Tetanus, Diphtheria, Pertussis) vaccine is actually recommended during each pregnancy, regardless of the patient’s previous history of receiving the vaccine. The optimal timing for Tdap administration is between 27 and 36 weeks of gestation.

A. “It occurs during the first trimester and near the end of the pregnancy.”. B. “In most cases, it only lasts until the 12th week but it will continue if you have poor bladder tone.”. C. “There is no way to predict how long it will last in each individual client.”. D. “It’s a minor inconvenience, which you should ignore.”. . .

Correct Answer is A

Explanation

Choice A rationale

Urinary frequency is a common early symptom of pregnancy. It’s caused by an increase of the hormones progesterone and human chorionic gonadotropin (hCG). The urges tend to reduce in the second trimester. Most women find they have to pee with even more frequency late in pregnancy, from about week 35 on. Near the end of the third trimester, when your baby is preparing for childbirth, the head “drops” down into the pelvis and presses squarely on your bladder — which means you’ll have that gotta-go urge more than ever.

Choice B rationale

While it’s true that urinary frequency can reduce after the first trimester, it’s not accurate to say that it only lasts until the 12th week for most cases. It’s also not entirely dependent on bladder tone. The frequency of urination during pregnancy is primarily due to hormonal changes and the growing uterus putting pressure on the bladder.

Choice C rationale

Although the duration of urinary frequency can vary among individuals, it’s not accurate to say that there’s no way to predict how long it will last in each individual client. Generally, urinary frequency is common during the first trimester and tends to reduce in the second trimester, only to increase again around week 352.

Choice D rationale

Labeling urinary frequency as a “minor inconvenience” that should be ignored is not an appropriate response. It’s important to validate the client’s experiences and provide accurate information. Urinary frequency is a normal part of pregnancy due to increased hormones and pressure on the bladder from the growing uterus.

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During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who is 23 weeks pregnant about immunizations.Which statement should the nurse include in the teaching?

Correct Answer is A

Explanation

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.Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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

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During the initial prenatal visit, a nurse is educating a client.
Which statement from the client suggests that further clarification is needed?