Question

A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

Answer 1

Correct Answers:

11.4 to 15.9 kg (25 to 35 lb)

Rationale :

🔷 Normal pre-pregnancy BMI (18.5–24.9) has a recommended gain of 25–35 lb.

🔷 Excessive or insufficient gain can increase risk of pregnancy complications.

🔷 Steady weight gain supports optimal fetal growth and maternal health.

🔷 Tracking weight helps identify issues like undernutrition or excessive retention.

🔷 Counseling on nutrition and monitoring supports healthy outcomes.

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Answer 2

Correct Answers:

1123

Rationale :

🟢 Naegele’s Rule:

💙Add 7 days to first day of last menstrual period, subtract 3 months, add 1 year.

🟢 Feb 16 + 7 days = Feb 23, minus 3 months = Nov 23, same year.

🟢 MMDD format: 1123 = November 23.

🟢 Provides estimated due date for planning prenatal care.

🟢 Early dating ensures accurate monitoring of fetal growth.

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Answer 3

Correct Answers:

"You should not take oral contraceptives while taking this medication."

Rationale :

♦ Oral contraceptives can increase the risk of thromboembolic events with warfarin.

♦ Drug interactions with warfarin can affect its anticoagulant effect.

♦ Warfarin is teratogenic, so pregnancy should be avoided.

♦ Other medications (e.g., NSAIDs, aspirin) can also increase bleeding risk and should be discussed.

♦ Nonhormonal contraception is preferred for women on warfarin therapy.

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Answer 4

Correct Answers:

Board-like abdomen

Rationale :

💠 Abruptio placentae typically presents as a board-like, rigid abdomen from blood collecting behind placenta.

💠 May be accompanied by painful vaginal bleeding and uterine tenderness.

💠 This is a true obstetric emergency risking maternal and fetal life.

💠 Painless bleeding is more typical of placenta previa.

💠 Prompt recognition and intervention reduce risk of complications.

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Answer 5

Correct Answers:

Have the client ambulate as often as possible.

Rationale :

🟡 Early ambulation promotes venous return and reduces risk of DVT.

🟡 Movement encourages circulation and prevents stasis in lower limbs.

🟡 Elastic stockings can help but should be applied after movement starts.

🟡 Heat application and NSAIDs are supportive, not primary prevention.

🟡 Ambulation is the most effective nonpharmacologic measure.

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Answer 6

Correct Answers:

Check the newborn's skin for ecchymosis.
Assist the mother to breastfeed the newborn after birth.
Check the newborn's blood glucose level.

Rationale :

⭐ Check skin for ecchymosis due to risk of birth trauma in LGA infants.

⭐ Assist mother with breastfeeding to promote early glucose stabilization.

⭐ Monitor blood glucose for hypoglycemia, which is common in LGA newborns.

⭐ LGA infants are at increased risk for injury and metabolic disturbances.

⭐ Early interventions support safe transition and decrease complications.

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Answer 7

Correct Order:

Order : 1 : No answer text available
Order : 2 : No answer text available
Order : 3 : No answer text available
Order : 4 : No answer text available

Rationale :

🔹 Separate labia to prevent contamination

🔹 Cleanse meatus from front to back with antiseptic.

🔹 Place container midstream to collect specimen

🔹 Secure cap tightly on container after collection

🔹 Following order prevents false results and ensures accuracy.

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Answer 8

Correct Answers:

Methotrexate

Rationale :

🟢 Methotrexate is a folic acid antagonist used for early, unruptured ectopic pregnancies.

🟢 It stops growth of the embryo and allows for absorption by the body.

🟢 Avoids need for surgery when criteria are met.

🟢 Monitoring for resolution (declining hCG) is required.

🟢 Terbutaline, magnesium sulfate, and calcium gluconate are not indicated for ectopic management.

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Answer 9

Correct Answers:

"I should replace the batteries in my smoke detector twice per year."

Rationale :

✅ Working smoke detectors are essential for home safety, especially with infants.

✅ Batteries should be changed every 6 months to ensure function.

✅ Babies should never be put to sleep on cushions or with baby powder due to SIDS risk and inhalation.

✅ Safe sleep environment and general home safety prevent injury and death.

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Answer 10

Correct Answers:

Fever

Rationale :

💠 Epidural anesthesia can cause a mild temperature elevation (fever) as a side effect.

💠 Tachypnea, hypertension, and tachycardia are not classic or direct effects.

💠 Fever is often related to reduced ability to dissipate heat or possible mild inflammatory response.

💠 Careful monitoring is important to distinguish from infection.

💠 Recognizing fever as an expected finding prevents unnecessary interventions.

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QLexNursing

1 :
A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

2 :
A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Negele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

3 :
A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep- vein thrombosis. Which of the following instructions should the nurse include?

4 :
A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

5 :
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

6 :
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

7 :
A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps by placing them in the order of performance. Use all the steps.)

8 :
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

9 :
A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

10 :
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?

QLexNursing

1 : A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

2 : A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Negele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

3 : A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep- vein thrombosis. Which of the following instructions should the nurse include?

4 : A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

5 : A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

6 : A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

7 : A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps by placing them in the order of performance. Use all the steps.)

8 : A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

9 : A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

10 : A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?

1 :
A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

2 :
A nurse is collecting data from a client who has just had a positive pregnancy test. The first day of her last menstrual period was February 16. Using Negele's rule, what should the nurse tell the client the estimated date of birth is? (Use the MMDD format.)

3 :
A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep- vein thrombosis. Which of the following instructions should the nurse include?

4 :
A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

5 :
A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

6 :
A nurse is planning care for a newborn who is large for gestational age. Which of the following actions should the nurse include in the plan of care? (Select all that apply.)

7 :
A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps by placing them in the order of performance. Use all the steps.)

8 :
A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

9 :
A nurse is assisting with a prenatal class discussion about newborn safety. Which of the following statements by a participant indicates an understanding of the teaching?

10 :
A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?