Which position should the nurse suggest the client use when emphasizing the importance of adequate rest and sleep with a pregnant client?

On the stomach with a pillow under her breasts

On the side with the weight of the uterus on the bed

On the back with a pillow under the knees and hips

On the back with a pillow under the head

Answer and Explanation

The Correct Answer is B

A. On the stomach with a pillow under her breasts: Sleeping on the stomach is not recommended during pregnancy as it becomes increasingly uncomfortable and impractical as pregnancy advances due to the growing uterus.

B. On the side with the weight of the uterus on the bed: This is the recommended position for pregnant women, especially in the second and third trimesters. Sleeping on the left side is particularly beneficial as it improves blood circulation, reduces pressure on the vena, and promotes better blood flow to the placenta and fetus.

C. On the back with a pillow under the knees and hips: Sleeping on the back is generally not recommended after the first trimester because the weight of the uterus can compress the major blood vessels, such as the inferior vena cava, reducing blood flow to the fetus.

D. On the back with a pillow under the head: While this position may be comfortable, sleeping on the back during pregnancy can lead to reduced blood flow to the fetus, especially in the later stages of pregnancy, and is generally not recommended. The side position is preferred.

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Correct Answer is B

Explanation

A. G4 T2 P2 A1 L1: The client had one preterm birth at 26 weeks (P1), not two, and the miscarriage counts as an abortion (A1), not as a preterm or term birth. The classification for preterm births should be adjusted to P1, not P2. There is also one term delivery (T1) not two.

B. G4 T1 P1 A1 L1: The client has had 4 pregnancies (G4): one live birth at 38 weeks (T1), one preterm birth at 26 weeks that did not survive (P1), one miscarriage at 8 weeks (A1), and one living child (L1). This is the correct classification.

C. G3 T2 P1 A1 L1: This option is incorrect because the client has had 4 pregnancies, not 3. The correct count should be G4.

D. G3 T2 P1 A2 L1: This option is incorrect because the miscarriage counts as one abortion (A1), not A2, and the client has had 4 pregnancies, not 3. The client has also had one term delivery (T1) not two.

A. Emphasize the protein, vitamin, and iron needs of pregnancy nutrition B. Kindly but firmly scold the client to discourage the habit C. Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia D. Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances

Correct Answer is C

Explanation

A. Emphasize the protein, vitamin, and iron needs of pregnancy nutrition: While emphasizing proper nutrition during pregnancy is important, this response does not directly address the client's current behavior or potential underlying health concerns related to pica.

B. Kindly but firmly scold the client to discourage the habit: Scolding the client is not an appropriate or effective approach. A non-judgmental, supportive response is needed to encourage open communication about this habit and to explore potential underlying causes.

C. Suggest they have a hemoglobin assessment done because of the association between pica and iron-deficiency anemia: Pica, the craving for nonfood substances like detergent, chalk, and soap, is often associated with iron-deficiency anemia. It would be appropriate to suggest a hemoglobin assessment to check for anemia.

D. Arrange for a separate appointment to prepare instructions about the hazards of ingesting nonfood substances: While it's important to discuss the risks of ingesting nonfood substances, it would be more helpful to address the potential underlying cause (iron deficiency) first and then discuss the hazards of pica in a supportive way.

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Which position should the nurse suggest the client use when emphasizing the importance of adequate rest and sleep with a pregnant client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Utilize the GTPAL system to classify the obstetrical history of a client who presents for their first prenatal appointment. Obstetrical history includes a vaginal delivery at 26 weeks of a newborn who did not survive, a miscarriage at 8 weeks, and one living child who was delivered at 38 weeks.

Correct Answer is B

Explanation

At a prenatal appointment, a 26-year-old client who is 20 weeks pregnant confides to you that they ingest laundry detergent, chalk and soap because of a craving they have had since adolescence. What would be your most appropriate action?

Correct Answer is C

Explanation

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