The nurse's assessment of a positive Goodell's sign and a positive urine pregnancy test are examples of what type of sign?

Choice A rationale

Dismissing a client's concerns, even if they are common during pregnancy, is a form of invalidation that can undermine the therapeutic relationship and reduce the client's willingness to communicate. This approach fails to address the client's psychosocial needs and can exacerbate feelings of anxiety or isolation. It is important to validate feelings to build trust and provide holistic care.

Choice B rationale

While some women do regain their pre-pregnancy body shape, making a generalized statement like "most women return to normal by 6 months" is not only inaccurate but can also set an unrealistic expectation. Postpartum body changes vary significantly among individuals, and this statement can lead to disappointment and body image dissatisfaction if the client does not meet this timeline.

Choice C rationale

Stretch marks, or striae gravidarum, result from the stretching and tearing of the dermis, the layer of skin beneath the epidermis. This is a physiological response to rapid skin expansion during pregnancy. The application of topical lotions or creams, while helpful for moisturizing and reducing itching, has not been scientifically proven to prevent the formation of stretch marks.

Choice D rationale

Acknowledging a client's body image concerns validates their feelings and demonstrates empathy, which is crucial for building a trusting nurse-client relationship. By encouraging sharing, the nurse provides a safe space for the client to express her anxieties, enabling a more accurate assessment of her psychosocial needs and concerns related to pregnancy.

Choice E rationale

Referring the client to counseling resources is an appropriate intervention for significant body image concerns, especially if they are leading to distress or impacting her psychological well-being. This provides access to specialized support from mental health professionals who can offer strategies to cope with body changes and promote a positive self-perception during pregnancy.

Choice A rationale

While nuts and legumes are good sources of non-dairy calcium, yogurt is a dairy product. The client is specifically asking for a list of non-dairy foods. Therefore, this choice is incorrect because it includes a dairy product.

Choice B rationale

Both yogurt and milk are dairy products, and therefore do not align with the client's request for non-dairy calcium sources. Starchy vegetables do contain some calcium, but this choice is incorrect due to the inclusion of dairy.

Choice C rationale

Nuts, legumes, and starchy vegetables all contain some calcium. However, this choice does not represent the most calcium-rich non-dairy options available, and other choices provide a more complete and accurate list of excellent non-dairy sources.

Choice D rationale

Fortified orange juice, salmon with bones (e.g., canned salmon), and collard greens are all excellent sources of non-dairy calcium. This combination provides a variety of food types that can be incorporated into the diet to meet increased calcium needs during pregnancy. *.