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 C

Explanation

C. The vastus lateralis muscle is located on the lateral aspect of the thigh. It is another acceptable site for IM injections in newborns and infants, especially when the volume of medication to be administered is small. This site is easy to access and has a good muscle mass for absorption.

A. The dorsogluteal site is located in the buttocks, specifically the upper outer quadrant of the gluteus maximus muscle. It has been traditionally used for IM injections in adults but is not recommended for infants due to the potential risk of injury to the sciatic nerve and other underlying structures.

B. The ventrogluteal site is considered the safest and most suitable site for IM injections in infants and children. It is located on the lateral aspect of the hip, where the gluteus medius and minimus muscles are deep and away from major nerves and blood vessels. However, its muscle mass is not adequate.

D. The deltoid muscle is located on the lateral side of the upper arm. It is commonly used for IM injections in adults but is not recommended for newborns due to insufficient muscle mass and potential discomfort.

A. Monitor vital signs every 5 min. B. Notify the provider. C. Place the client in a lateral position D. Elevate the client's legs.

Correct Answer is C

Explanation

C. Positioning the client on her left side (lateral position) can help improve venous return to the heart and subsequently increase blood pressure. This position is beneficial in managing hypotension caused by epidural anesthesia and should be implemented promptly.

A. While monitoring vital signs is important, including blood pressure, heart rate, and oxygen saturation, doing so every 5 minutes might not be sufficient if the client's blood pressure remains low. Continuous monitoring is crucial in this situation, but it is not the priority action.

B. Notifying the provider is essential because hypotension during epidural anesthesia can affect placental perfusion, leading to fetal distress. The provider may order interventions such as administering intravenous fluids, adjusting the epidural anesthesia infusion rate, or administering medications to increase blood pressure. However, this should delay other necessary interventions.

D. Elevating the client's legs is not recommended in this situation because it can further compromise venous return and exacerbate hypotension. This action is contraindicated when managing hypotension related to epidural anesthesia.

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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 preparing to administer vitamin K by IM injection to a newborn. The nurse should administer the medication into which of the following muscles?

Correct Answer is C

Explanation

A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?

Correct Answer is C

Explanation

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