The nurse is teaching a group of pregnant clients about antenatal care. Which comment by one of the clients indicates a need for further teaching?
“I never liked milk, but I have started adding more cheese and other dairy products to my diet.”
“I have been walking 2 miles every day for the last 3 years, and I plan to maintain my walking during pregnancy.”
“My husband and I used to have wine every night for dinner, now we have wine once a week.”
“I used to douche once a week prior to pregnancy, but now I have stopped.”
The Correct Answer is C
A. “I never liked milk, but I have started adding more cheese and other dairy products to my diet.”: Indicates an appropriate dietary substitution for calcium-no teaching needed.
B. “I have been walking 2 miles every day for the last 3 years, and I plan to maintain my walking during pregnancy.”: Continuing moderate exercise is safe and encouraged in pregnancy.
C. “My husband and I used to have wine every night for dinner, now we have wine once a week.”: Any alcohol during pregnancy is contraindicated due to risk of fetal alcohol spectrum disorders.
D. “I used to douche once a week prior to pregnancy, but now I have stopped.”: Discontinuing douching is appropriate; it can disturb normal vaginal flora and lead to infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "A distended bladder reduces the pelvic space needed for birth.”
A full bladder can impede fetal descent and interfere with uterine contractions.
B. "A full bladder decreases the risk for bladder infections.":
Frequent emptying helps prevent infection, but that’s not the primary reason during labor.
C. "A full bladder will be traumatized by frequent vaginal examinations":
Trauma can happen, but space for fetal descent is more critical.
D. "A full bladder increases the risk for trauma to the fetus.”
No direct trauma to fetus from bladder distension; this is inaccurate.
Correct Answer is D
Explanation
A. Obtain a slide sample and look for fluid:
May help but less reliable unless seeing ferning under microscope.
B. Test the vaginal fluid with Dextrostix:
Dextrostix checks for glucose, not amniotic fluid.
C. Perform a VE during contraction:
Increases risk of infection, especially if ROM is suspected.
D. Test vaginal fluid with Nitrazine paper:
Nitrazine paper checks pH; amniotic fluid is alkaline and turns the paper blue.
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