The nurse is teaching the patient how to prevent backaches during pregnancy. Which of the following self-care measures should the patient take? (Select All that Apply).

Avoid exaggerating lumbar curve

Apply localized cold compress

Use a cane when walking

Wear low-heeled shoes to help maintain better posture

Do not do exercises such as tailor sitting cross-legged, shoulder circling, and pelvic rocking

Answer and Explanation

Correct Answer : A,D,E

A. Avoid exaggerating the lumbar curve: This helps maintain better posture and reduces the strain on the lower back, preventing backaches.

B. Applying localized cold compress: Cold compresses may be helpful for acute injuries but are not a primary recommendation for preventing pregnancy-related backaches.

C. Using a cane when walking: This is not typically recommended unless there is a medical condition or injury. Most pregnant women can benefit from posture correction and strength exercises rather than reliance on a cane.

D. Wearing low-heeled shoes: This is recommended because low-heeled shoes provide better support and help maintain proper posture, reducing the risk of back pain during pregnancy.

E. Not doing exercises such as tailor sitting cross-legged, shoulder circling, and pelvic rocking: This statement is incorrect. These exercises, particularly pelvic rocking and shoulder circling, are actually helpful in preventing and alleviating back pain by improving flexibility and strengthening muscles. Avoiding such exercises may be detrimental.

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Correct Answer is C

Explanation

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.

A. This test will screen for gestational diabetes. B. This test will screen for fetal maturity. C. This test will screen for ABO incompatibility. D. This test will screen for neural tube defects.

Correct Answer is D

Explanation

A. MSAFP does not screen for gestational diabetes. Gestational diabetes is typically screened for between 24–28 weeks of gestation using glucose testing.

B. MSAFP does not assess fetal maturity; tests for maturity, such as lecithin-sphingomyelin ratio, are usually performed in the third trimester if preterm delivery is anticipated.

C. MSAFP does not evaluate ABO incompatibility, which is identified through maternal and fetal blood type testing.

D. MSAFP is a blood test that helps screen for neural tube defects like spina bifida or anencephaly and can also detect certain chromosomal abnormalities when used with additional tests in a quad screen.

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The nurse is teaching the patient how to prevent backaches during pregnancy. Which of the following self-care measures should the patient take? (Select All that Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching?

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The tissue between the vaginal opening and the anus is known as the

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