NCLEX QUESTIONS 3

a 34 year-old multiparous client at 16 weeks gestation who received regular prenatal care for all of her previous pregnancies tells the nurse that she already felt the baby move. how dose the nurse interpret this finding? a.) the possible that the client is carrying twins b.) unusual because most multiparous clients do not experience quickening until 30 weeks gestation c.) evidence that the client's estimated date of birth is probably off by a few weeks d.) normal because multiparous clients can experience quickening between 14 and 20 weeks gestation

although most multiparous women experience quickening at about 17.5 weeks gestation some women may perceive it between 14 and 20 weeks gestation because they have been pregnant before and know what to expect. detecting movement early does not suggest a twin pregnancy. if the multiparous client does not experience quickening by 20 weeks gestations, further investigation is warranted because the fetus may have died, the client has a hydatidiform mole, or the pregnancy dating is incorrect. there is no evidence that the client's expected date of birth is erroneous

the prenatal client wants to know why the nurse is asking about her use of herbal supplements. what is the nurse's BEST response? a.) "I need to assess your risk because most dietary supplements have not been tested in pregnant women, nursing mothers, or children" b.) "you may need additional screening because herbal supplements often contain other ingredients that may affect your care" c.) "understanding the full picture of what herbal supplements you use to manage your health will help us better provide coordinated and safe care" d.) "many herbal supplements change the way your body processes many medications and make them less ineffective"

clients often to not tell providers about the use of complementary and alternative approaches because they fear they will be judged. by approaching care as a partnership, the nurse sets the stage for open communication. all other statements are true but begin the conversation in a way that suggest the client has done something wrong

the nurse is discussing dietary concerns with pregnant teens. which choices are convenient for teens yet nutritious for both the mother and fetus? select all that apply a.) milkshake or yogurt with fresh fruit or granola bar b.) chicken nuggets with tater tots c.) cheese pizza with spinach and mushroom topping d.) peanut butter with crackers and a juice drink e.) buttery light popcorn with diet cola f.) cheeseburger, pickle, and ketchup

dairy products, fresh fruit, vegetables, and food high in protein are excellent choices. fried foods, like chicken nuggets and tater tots, and foods like cheeseburgers and buttered popcorn are high in fat. carbonated drinks such as diet colas, and foods like pickles and ketchup have a lot of sodium. these foods can lead to an increase in ankle edema and promote weight gain from empty calories

The nurse is reviewing a pregnant client's immunization records. which immunizations are contraindicated during pregnancy and are not updated at this time? select all that apply a.) tetanus b.) rubella c.) mumps d.) chickenpox e.) live attenuated influenza vaccine f.) hepatitis B

during pregnancy live virus immunizations are not administered because of potential teratogenicity. these immunizations include chicken pox, rubella, mumps, smallpox, and live attenuated influenza vaccine. vaccines containing killed viruses (tetanus, diphtheria, hep B) may be administers, and in fact are recommended by the CDC

the nurse instructs a primigravid client about the importance of sufficient vitamin A in her diet. the nurse knows that the instructions have been effective when the client indicates that she should include which foods in her diet? a.) buttermilk and cheese b.) strawberries and broccoli c.) egg yoks and squash d.) oranges and tomatoes

egg yolks and squash and other yellow vegetables are rich sources of vitamin A. buttermilk and cheese are good sources of calcium. strawberries, broccoli, citrus fruits, and tomatoes are good sources of vitamin C, not vitamin A

when developing a teach plan for a client who is 8 weeks pregnant, the nurse would suggest wheat foods to meet the client's need for increased folic acid? select all that apply a.) spinach b.) bananas c.) seafood d.) yogurt 3.) beans

green, leafy vegetables, such as asparagus, spinach, brussels sprouts, and broccoli, are rich sources of folic acid. beans, peas, and lentils are also a good source. the pregnant woman needs to eat foods high in folic acid to prevent deficits, which may result in neural tube defects in the newborn. a well-balanced diet must include whole grains, dairy products, and fresh fruits, however, bananas are rich in potassium, seafood in iodine, and yogurt in calcium, not folic acid

the nurse instructs a primigravid client to increase her intake of foods high in magnesium because of its role in which process? a.) prevention of demineralization of the mother's bones b.) synthesis of proteins, nucleic acids, and fats c.) amino acid metabolism d.) synthesis of neural pathways in the fetus

magnesium aids in the synthesis of protein, nucleic acids, proteins, and fats. it is important for cell growth and neuromuscular function. magnesium also activate the enzymes for metabolism of protein and energy. calcium prevents demineralization of the mother's bones. vitamin B6 is important for amino acid metabolism. folic acid assists in the development of neural pathways in the fetus.

an antenatal client is discussing her anemia with the nurse in the prenatal clinic. after a discussion abut sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which statement? a.) "I can meet two goals when I drink milk: lots of iron and meeting my calcium needs at the same time" b.) "drinking coffee, tea, and sodas decreases the absorption of iron" c.) "I can increase the absorption of iron by drinking orange juice when I ear" d.) "cream of wheat and molasses are excellent sources of iron"

milk contains a large amount of calcium but contains no iron. coffee, tea, and caffeinated soft drinks inhibit the absorption of iron. the vitamin C found in orange juice enhances the absorption of iron. cream of weight (1 cup/10 mg iron) and molasses (1 tbsp/3mg iron) are considered excellent sources of iron