The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client:

Avoid fried and spicy foods.

Lie down soon after eating.

Eat dry crackers before getting out of bed in the morning.

Avoid overfilling your stomach.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale

Avoiding fried and spicy foods can reduce nausea by preventing gastric irritation and reflux, common in pregnancy due to hormonal changes. Ginger, bland foods are better alternatives.

Choice B rationale

Lying down after eating may exacerbate nausea and acid reflux due to the relaxation of the lower esophageal sphincter caused by pregnancy hormones. Remain upright for at least 30 minutes.

Choice C rationale

Eating dry crackers before getting out of bed helps stabilize blood glucose levels, reducing morning sickness. This is effective due to hormonal fluctuations affecting digestion in pregnancy.

Choice D rationale

Avoiding overfilling the stomach prevents excessive distension, reducing pressure on the stomach and lower esophageal sphincter, thus minimizing nausea and reflux. Smaller, frequent meals are recommended.

Choice E rationale

This choice is invalid, as it does not directly correlate with recommended nausea management strategies in pregnancy. Focus on dietary adjustments and hydration instead.

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Correct Answer is A

Explanation

Choice A rationale

Ultrasonography provides the most accurate assessment of gestational age, especially in the first trimester, by measuring the crown-rump length.

Choice B rationale

HCG levels can indicate pregnancy but are not as accurate for determining the exact gestational age.

Choice C rationale

Nagele's rule is based on the menstrual cycle and may not be accurate if cycles are irregular.

Choice D rationale

Fundal height measurement is less accurate in early pregnancy and more useful in later trimesters.

A. Enlarged uterus. B. Positive fetal cardiac activity on ultrasound. C. Auscultation of fetal heart tones. D. Amenorrhea.

Correct Answer is D

Explanation

Choice A rationale

Enlarged uterus is a probable sign of pregnancy, often caused by uterine growth. Probable signs are those observed by the examiner but not definite.

Choice B rationale

Positive fetal cardiac activity on ultrasound is a positive sign of pregnancy. Positive signs are definitive proof of pregnancy, observed via imaging or hearing fetal heart tones.

Choice C rationale

Auscultation of fetal heart tones is a positive sign of pregnancy, indicating fetal presence. Positive signs confirm pregnancy through direct observation or hearing the fetus.

Choice D rationale

Amenorrhea is a presumptive sign of pregnancy, commonly due to hormonal changes. Presumptive signs are subjective symptoms experienced by the woman, like nausea or breast tenderness.

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The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client:

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Naxlex Comprehensive Predictor Exams

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