A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports feeling overwhelmed lately. The client asks the nurse, "Can't have just one glass of wine here and there?" Which of the following responses should the nurse make?

As long as you don’t drink in the first trimester, your baby should be okay.

Why do you want to place your baby's well-being at risk?

We recommend no alcohol during pregnancy for the best outcomes.

Drinking even small amounts of alcohol can cause your baby's heart to stop beating.

Answer and Explanation

The Correct Answer is C

A. While alcohol consumption in early pregnancy poses significant risks, it is not safe to drink alcohol at any point during pregnancy. There is no safe amount of alcohol that can be consumed without risk to the developing fetus.

B. Although the sentiment is correct in discouraging alcohol use, this response could be seen as judgmental and may not foster a supportive environment for the client.

C. We recommend no alcohol during pregnancy for the best outcomes. This is the correct and evidence-based response. The safest choice for both maternal and fetal health is to avoid alcohol entirely during pregnancy.

D. While alcohol consumption during pregnancy can lead to various issues like fetal alcohol syndrome, it is unlikely to directly cause the baby’s heart to stop beating.

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Correct Answer is D

Explanation

A. A ketogenic diet is not recommended during pregnancy, as carbohydrates are essential for fetal growth and energy. Adequate, balanced nutrition is key during pregnancy.

B. While water intake is important, pregnant clients are advised to drink 8–10 glasses of water daily to support increased blood volume and amniotic fluid. Six glasses would be insufficient.

C. An additional 1,000 calories per day is excessive for early pregnancy. During the first trimester, the calorie increase is minimal (approximately 150–200 calories), with more significant increases later in pregnancy.

D. Taking a prenatal vitamin daily ensures adequate intake of essential nutrients like folic acid and iron, which are critical for preventing neural tube defects and supporting maternal health.

A. "Women have all of their ova at the time they are born." B. "Women make fewer ova as they age." C. "Ova production begins at birth and continues until puberty." D. "New ova are made every month from puberty to climacteric."

Correct Answer is A

Explanation

A. Women have all of their ova at birth. Oogenesis, the process of egg development, occurs in the fetus, and women are born with all the eggs (ova) they will ever have. The number of eggs decreases over time.

B. Women make fewer ova as they age is correct in a sense, but the statement is misleading because the number of eggs actually decreases after birth, not through an ongoing process of "making fewer."

C. Ova production begins at birth and continues until puberty is incorrect. Ova are formed during fetal development, but no new eggs are produced after birth.

D. New ova are made every month from puberty to climacteric is incorrect. While ova mature and are released monthly during a woman's reproductive years, they are not newly made each month. The ovary contains a finite number of immature eggs at birth.

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A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports feeling overwhelmed lately. The client asks the nurse, "Can't have just one glass of wine here and there?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is 8 weeks of gestation about healthy lifestyle practices during pregnancy. Which of the following client statements indicate an understanding of the teaching?

Correct Answer is D

Explanation

What statement indicates a woman has correct information about oogenesis?

Correct Answer is A

Explanation

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