What is the most effective way for a nurse to assess a woman's usual food intake during her pregnancy?

Ask her to describe her intake for the last 24 hours.

Ask her to describe her total intake for a week

Assess a list she makes describing a good diet

Assess her skin for hydration and color.

Answer and Explanation

The Correct Answer is B

B. This option provides a broader view of the woman's dietary habits compared to asking about the last 24 hours. It allows the nurse to assess patterns of intake over a longer period, which can be more representative of her usual eating habits. This method helps capture variations in diet and can reveal trends that might not be apparent from a single day's intake.

A. This method provides a snapshot of the woman's recent dietary habits. It can give the nurse immediate insight into what the woman has consumed recently. However, it may not fully represent her usual dietary patterns over time, as food intake can vary day to day.

C. Asking the woman to describe a list of foods that constitute a "good diet" may provide insights into her knowledge and beliefs about nutrition. However, it may not accurately reflect her actual dietary intake. People often have an idealized view of what constitutes a healthy diet versus what they actually consume.

D. Assessing skin hydration and color is important for evaluating overall hydration status and potential nutritional deficiencies, but it does not directly assess food intake. Skin assessment can provide clues about general health and hydration but does not substitute for a detailed dietary assessment.

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Correct Answer is A

Explanation

A. Rh immunoglobulin is given to Rh-negative mothers during and after pregnancy to prevent them from developing Rh antibodies against Rh-positive red blood cells. Without RhIG, Rh-negative mothers may develop antibodies if they are exposed to Rh-positive fetal blood (such as during delivery or other pregnancy-related events), which could lead to complications in future pregnancies.

B. Rh immunoglobulin is not given to prevent Rh antibodies in Rh-positive newborns; rather, it prevents Rh-negative mothers from developing antibodies against Rh-positive fetal red blood cells.

C. Rh immunoglobulin does not destroy Rh antibodies in newborns. It prevents the mother's immune system from producing these antibodies in the first place, thereby protecting future pregnancies from HDFN.

D. Rh immunoglobulin does not destroy existing Rh antibodies in Rh-negative mothers. Instead, it works prophylactically by binding to and neutralizing Rh-positive fetal red blood cells that may have entered the maternal circulation, thus preventing the mother from developing Rh antibodies.

A. Puerperal infection B. Thrombophlebitis C. Uterine atony D. Retained placental fragments

Correct Answer is C

Explanation

C. Uterine atony refers to the inability of the uterus to contract effectively after childbirth. The risk is increased with large babies because they can cause overdistension of the uterus during pregnancy and may lead to poor uterine contraction postpartum, predisposing the client to postpartum hemorrhage.

A. This is a risk due to the prolonged labor associated with delivering a large baby. Prolonged labor increases the risk of maternal tissue trauma and potential exposure to infectious organisms, which can lead to infections such as endometritis (infection of the uterine lining).

B. Thrombophlebitis, or inflammation of a vein with clot formation, is another potential complication. It can occur due to venous stasis during labor and delivery, especially in clients who are immobile for extended periods or have other risk factors like obesity or prolonged labor.

D. Retained placental fragments are more likely with larger babies because the placenta can be larger and more adherent to the uterine wall, increasing the risk of incomplete expulsion. This can lead to postpartum hemorrhage or infection if not promptly managed.

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What is the most effective way for a nurse to assess a woman's usual food intake during her pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh,(D) immunoglobulin. Which of the following should be included in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is 5 hr postpartum following a vaginal birth of a newborn weighing 9 lb 6 oz. (4252 g). The nurse should recognize that this client is at risk for which of the following postpartum complications?

Correct Answer is C

Explanation

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