Reproduction: Exemplar 33.A
Antepartum Care
A client at 16 weeks' gestation is diagnosed with tuberculosis (TB). Which statement by
the nurse is appropriate when instructing the client regarding the needs for both the
client and fetus?
A) "You have been prescribed isoniazid; therefore, you must also take pyridoxine
(vitamin B6)."
B) "Your contact with the baby will be limited for several months after delivery."
C) "You will not be able to breastfeed your baby because of this diagnosis."
D) "You are free to have contact with anyone as TB is not contagious when diagnosed
during pregnancy." - Ans - A
A client who is at 12 weeks' gestation is experiencing nausea, breast tenderness, and
fatigue. She tells the nurse her husband is upset with her constant complaints. Which is
the priority nursing diagnosis based on this data?
A) Ineffective Breastfeeding
B) Dysfunctional Family Processes
C) Nausea
D) Fatigue - Ans - C
A client who recently learned of being pregnant tells the nurse that she stopped eating
meat years ago and started eating fish daily because it is healthier. Which teaching
points are appropriate for this client based on her current diet? Select all that apply.
A) Avoid shrimp, salmon, and catfish because these have higher mercury levels.
B) Eat up to 12 ounces a week of a variety of fish and shellfish.
C) Do not eat more than 6 ounces per week of albacore tuna.
D) Eat plenty of fish such as king mackerel while pregnant.
E) Follow a complete vegetarian diet while pregnant as an alternative to eating fish. -
Ans - BC
The nurse is caring for a 14-year-old client who is pregnant. What will the nurse need to
consider that may affect this client more than older adolescents?
A) The client may be more concerned about modesty.
B) The client may be more concerned with state marriage laws.
C) The client may be more concerned about parents finding out about the pregnancy.
D) The client may be more concerned about finding a support person. - Ans - A
The nurse is caring for a 36-year-old pregnant woman. She has two children, ages 15
and 13, from a previous marriage, and this is her first child from her second marriage.
The client has indicated that her two older children seem very upset by her pregnancy
and have been increasingly belligerent the closer she gets to delivery. What can the
nurse say to support this family?
Antepartum Care
A client at 16 weeks' gestation is diagnosed with tuberculosis (TB). Which statement by
the nurse is appropriate when instructing the client regarding the needs for both the
client and fetus?
A) "You have been prescribed isoniazid; therefore, you must also take pyridoxine
(vitamin B6)."
B) "Your contact with the baby will be limited for several months after delivery."
C) "You will not be able to breastfeed your baby because of this diagnosis."
D) "You are free to have contact with anyone as TB is not contagious when diagnosed
during pregnancy." - Ans - A
A client who is at 12 weeks' gestation is experiencing nausea, breast tenderness, and
fatigue. She tells the nurse her husband is upset with her constant complaints. Which is
the priority nursing diagnosis based on this data?
A) Ineffective Breastfeeding
B) Dysfunctional Family Processes
C) Nausea
D) Fatigue - Ans - C
A client who recently learned of being pregnant tells the nurse that she stopped eating
meat years ago and started eating fish daily because it is healthier. Which teaching
points are appropriate for this client based on her current diet? Select all that apply.
A) Avoid shrimp, salmon, and catfish because these have higher mercury levels.
B) Eat up to 12 ounces a week of a variety of fish and shellfish.
C) Do not eat more than 6 ounces per week of albacore tuna.
D) Eat plenty of fish such as king mackerel while pregnant.
E) Follow a complete vegetarian diet while pregnant as an alternative to eating fish. -
Ans - BC
The nurse is caring for a 14-year-old client who is pregnant. What will the nurse need to
consider that may affect this client more than older adolescents?
A) The client may be more concerned about modesty.
B) The client may be more concerned with state marriage laws.
C) The client may be more concerned about parents finding out about the pregnancy.
D) The client may be more concerned about finding a support person. - Ans - A
The nurse is caring for a 36-year-old pregnant woman. She has two children, ages 15
and 13, from a previous marriage, and this is her first child from her second marriage.
The client has indicated that her two older children seem very upset by her pregnancy
and have been increasingly belligerent the closer she gets to delivery. What can the
nurse say to support this family?
