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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["B","C"]

Explanation

Choice A rationale: Surgical history does not necessarily increase pregnancy complications, especially with resolved conditions like cholecystectomy and appendectomy. However, each surgical procedure's impact varies, and this client's surgeries were neither recent nor directly related to reproductive health.

Choice B rationale: Asthma and hypertension both increase pregnancy risk. Uncontrolled asthma can lead to preeclampsia and low birth weight. Hypertension, particularly with losartan use, can affect placental function and fetal development, necessitating close monitoring and medication adjustment.

Choice C rationale: Advanced maternal age (over 35) heightens risks such as chromosomal abnormalities, gestational diabetes, and preeclampsia. Pregnancy complications increase with age, necessitating more frequent prenatal monitoring and potential interventions to ensure maternal and fetal health.

Choice D rationale: BMI information isn't provided, making it impossible to assess its impact. BMI outside the normal range can influence pregnancy outcomes, but without this data, we cannot definitively link it to increased risk in this scenario.

Choice E rationale: Psychosocial factors, like recent marriage and work stress, do influence pregnancy, but the primary clinical concerns here are medical history and age. Addressing psychosocial stress is still important but is secondary to physiological conditions.

A. Two or more fetal heart rate accelerations within a 20-minute period. B. No late decelerations of the fetal heart rate. C. Late decelerations are present with a minimum of 50% of the contractions. D. Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds.

Correct Answer is A

Explanation

Choice A rationale

A reactive nonstress test is defined as having two or more fetal heart rate accelerations of at least 15 beats per minute lasting 15 seconds or more within a 20-minute period.

Choice B rationale

No late decelerations of the fetal heart rate do not define a reactive nonstress test, which focuses on fetal heart rate accelerations as indicators of fetal well-being.

Choice C rationale

The presence of late decelerations in more than 50% of contractions indicates uteroplacental insufficiency and fetal distress, not a reactive nonstress test which requires accelerations.

Choice D rationale

Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds do not meet the criteria for a reactive nonstress test, which requires accelerations of 15 beats per minute lasting 15 seconds or more.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

Correct Answer is ["B","C"]

Explanation

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

Correct Answer is A

Explanation

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

A nurse in a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?