1) A nurse in a woman's health clinic is providing teaching about nutritional
intake to a client who is at 8 weeks of gestation. The nurse should
instruct the client to increase her daily intake of which of the followi
...
1) A nurse in a woman's health clinic is providing teaching about nutritional
intake to a client who is at 8 weeks of gestation. The nurse should
instruct the client to increase her daily intake of which of the following
nutrients?
Calcium
The recommendation for calcium intake during pregnancy is the same as that for
women who are not pregnant: 1,300 mg/day for women younger than 19 years old
and 1,000 mg/day for women between the ages of 19 and 50 years old.
Vitamin E
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same
as that for women who are not pregnant.
Iron
The recommendation for iron intake during pregnancy is higher than that for women
who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who
are not pregnant, it is 15 mg/day for women younger than 19 years old and 18
mg/day for women between the ages of 19 and 50 years old.
Vitamin D
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same
as
2) A nurse is caring for a client who has uterine hypotonicity and is
experiencing postpartum hemorrhage. Which of the following actions is
the nurse's priority?
Check the client's capillary refill.
It is important for the nurse to monitor capillary refill in order to track baseline data
for this client. However, another action is the nurse's priority.
Massage the client's fundus.
Uterine hypotonicity and postpartum hemorrhage indicate that this client is at the
greatest risk for hypovolemic shock. This can compromise the perfusion to the
client's vital organs, causing death to occur. Therefore, the nurse's priority is to
massage the client's fundus in order to minimize blood loss.
Insert an indwelling urinary catheter for the client.
It is important for the nurse to insert an indwelling urinary catheter in order to assess
the client for hypovolemia. However, another action is the nurse's priority.
Prepare the client for a blood transfusion.
It is important for the nurse to prepare the client for a blood transfusion in order to
replace the amount of blood lost from postpartum hemorrhage. However, another
action is the nurse's priority.
3) A nurse is providing discharge teaching to a parent whose newborn has
just had a circumcision. Which of the following instructions should the
nurse include?
Apply slight pressure with a sterile gauze pad for mild bleeding.
The nurse should instruct the client to attempt to stop mild bleeding by applying
pressure with sterile gauze. If bleeding continues, the client should notify the
provider.
Inspect the circumcision site every 6 to 8 hr.
The client should change the newborn's diaper and examine the circumcision site at
least every 4 hr.
Use baby wipes containing alcohol to cleanse the penis with each diaper change.
Baby wipes containing alcohol can irritate the skin and should be avoided until the
circumcision has healed, which usually takes 5 to 6 days. During each diaper change,
the penis should be washed gently with warm water and have petroleum jelly applied
to the glans.
Remove yellow exudate daily using a warm, wet washcloth.
The client should not attempt to remove any yellow exudate from the circumcision
site because it is part of the healing process, which begins within 24 hr and continues
for 2 to 3 days. Disrupting it can cause pain and bleeding.
4) A nurse is teaching about effective breastfeeding to a client who is 3
days postpartum. Which of the following information should the nurse
include?
"Your milk will replace colostrum in about 10 days."
The nurse should inform the client that milk production occurs 3 or 4 days
postpartum. The breasts will feel firm and heavy. The client should continue to feed
the newborn on demand during this period.
"Your breasts should feel firm after breastfeeding."
The nurse should inform the client that her breasts should feel softer after feeding.
This change indicates that the newborn has emptied the breasts of milk.
"Your newborn should urinate at least 10 times per day."
The nurse should inform the client that the newborn should void six to eight times
per day. The newborn should also have at least three stools per day. It is not
uncommon for breastfed newborns to have a stool with each feeding.
"Your newborn should appear content after each feeding."
The nurse should inform the client that a baby who is sated will appear content after
feedings. A baby who continues to show indications of hunger (for example, rooting,
sucking on the hands, or crying) might not be effectively emptying the breasts during
feedings.
5) A nurse is teaching a client who has pregestational type 1 diabetes
mellitus about management during pregnancy. Which of the following
statements by the client indicates an understanding of the teaching?
"I should have a goal of maintaining my fasting blood glucose between 100 and
120."
The nurse should teach the client to maintain her fasting blood glucose level
between 60 and 99 mg/dL.
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