NURS 497 Knowledge Assignments West
Coast University 2024/2025 WITH
COMPLETE QUESTION AND ANSWERS
The nurse provides instructions to a malnourished pregnant client
regarding iron supplementation. Which client statement indicates an
understanding of the instructions?
1."Iron supplements will give me diarrhea."
2."Meat does not provide iron and should be avoided."
3."The iron is best absorbed if taken on an empty stomach." 4."On the
days that I eat green leafy vegetables or calf liver, I can omit taking the
iron supplement." -<<<ANSWER>>> 3 "The iron is best absorbed if
taken on an empty stomach."Iron is needed to allow for transfer of
adequate iron to the fetus and to permit expansion of the maternal red
blood cell mass. During pregnancy, the relative excess of plasma causes
a decrease in the hemoglobin concentration and hematocrit, known as
physiological anemia of pregnancy. This is a normal adaptation during
pregnancy. Iron is best absorbed if taken on an empty stomach with
water or a vitamin C containing juice. Iron supplements usually cause
constipation. Meats are an excellent source of iron. The client needs to
take the iron supplements regardless of food intake.
,A prenatal woman with a history of heart disease has been instructed on
care at home. Which statement, if made by the woman, indicates that she
understands her needs?
1."My weight gain is not important."
2."I should avoid stressful situations."
3."I should rest by lying on my back."
4."There is no restriction on people who visit me." -<<<ANSWER>>>
2. "I should avoid stressful situations."Stress causes increased heart
workload, and the client should be instructed to avoid stress. Too much
weight gain can place further demands on the heart. Resting should be
on the left side to promote blood return. To avoid infections, individuals
with active infections should not be allowed to visit the client. Otherwise
restrictions are not required.
The nurse is providing instructions to a pregnant client visiting the
antenatal clinic about foods that are rich in folic acid. Which food should
the nurse encourage the client to consume because it is highest in folic
acid?
1.Rice
2.Cheese
3.Chicken
4.Dried beans -<<<ANSWER>>> 4
Of the choices available, green leafy vegetables are highest in folic acid.
Other sources of folic acid include whole grains, fruits, liver, dried peas,
and beans. Chicken, rice, and cheese are not high in folic acid. Cheese is
high in calcium, and rice and chicken are good sources of iron.
The home care nurse is monitoring a pregnant client with gestational
hypertension who is at risk for preeclampsia. At each home care visit,
the nurse assesses the client for which classic signs of preeclampsia?
Select all that apply.
1.Proteinuria
2.Hypertension
3.Low-grade fever
, 4.Generalized edema
5.Increased pulse rate 6.Increased respiratory rate -<<<ANSWER>>>
1,2,4
The three classic signs of preeclampsia are hypertension, generalized
edema, and proteinuria. A low-grade fever, increased pulse rate, or
increased respiratory rate is not associated with preeclampsia.
The nurse is reviewing the record of a pregnant woman and notes that
the primary health care provider has documented the presence of
Chadwick's sign. Which assessment finding supports the presence of
Chadwick's sign?
1.Darkening of the areola 2.Softening of the uterine isthmus 3.Bluish
discoloration of cervix and vagina
4.Palpation of the uterus above the level of the symphysis pubis -
<<<ANSWER>>> 3
A home care nurse is monitoring a 16-year-old primigravida who is at
36 weeks' gestation and has gestational hypertension. Her blood pressure
during the past 3 weeks has been averaging 130/90 mm Hg. She has had
some swelling in the lower extremities and has had mild proteinuria.
Which statement by the woman should alert the nurse to the worsening
of gestational hypertension?
1."My vision for the past 2 days has been really fuzzy."
2."The swelling in my hands and ankles has gone down."
3."I had heartburn yesterday after I ate some spicy foods."
4."I had a headache yesterday, but I took some acetaminophen and it
went away." -<<<ANSWER>>> 1. "My vision the past 2 days has been
really fuzzy."Visual disturbances such as blurred vision, double vision,
or spots before the eyes indicate arterial spasms and edema in the retina
and may be a warning sign of worsening gestational hypertension.
Resolution of swelling is not an indicator of preeclampsia. Heartburn is
a common discomfort of pregnancy, especially with intake of spicy
foods. A continuous headache indicates poor cerebral perfusion; having
just one headache that is relieved with medication is not an indicator of
preeclampsia.
Coast University 2024/2025 WITH
COMPLETE QUESTION AND ANSWERS
The nurse provides instructions to a malnourished pregnant client
regarding iron supplementation. Which client statement indicates an
understanding of the instructions?
1."Iron supplements will give me diarrhea."
2."Meat does not provide iron and should be avoided."
3."The iron is best absorbed if taken on an empty stomach." 4."On the
days that I eat green leafy vegetables or calf liver, I can omit taking the
iron supplement." -<<<ANSWER>>> 3 "The iron is best absorbed if
taken on an empty stomach."Iron is needed to allow for transfer of
adequate iron to the fetus and to permit expansion of the maternal red
blood cell mass. During pregnancy, the relative excess of plasma causes
a decrease in the hemoglobin concentration and hematocrit, known as
physiological anemia of pregnancy. This is a normal adaptation during
pregnancy. Iron is best absorbed if taken on an empty stomach with
water or a vitamin C containing juice. Iron supplements usually cause
constipation. Meats are an excellent source of iron. The client needs to
take the iron supplements regardless of food intake.
,A prenatal woman with a history of heart disease has been instructed on
care at home. Which statement, if made by the woman, indicates that she
understands her needs?
1."My weight gain is not important."
2."I should avoid stressful situations."
3."I should rest by lying on my back."
4."There is no restriction on people who visit me." -<<<ANSWER>>>
2. "I should avoid stressful situations."Stress causes increased heart
workload, and the client should be instructed to avoid stress. Too much
weight gain can place further demands on the heart. Resting should be
on the left side to promote blood return. To avoid infections, individuals
with active infections should not be allowed to visit the client. Otherwise
restrictions are not required.
The nurse is providing instructions to a pregnant client visiting the
antenatal clinic about foods that are rich in folic acid. Which food should
the nurse encourage the client to consume because it is highest in folic
acid?
1.Rice
2.Cheese
3.Chicken
4.Dried beans -<<<ANSWER>>> 4
Of the choices available, green leafy vegetables are highest in folic acid.
Other sources of folic acid include whole grains, fruits, liver, dried peas,
and beans. Chicken, rice, and cheese are not high in folic acid. Cheese is
high in calcium, and rice and chicken are good sources of iron.
The home care nurse is monitoring a pregnant client with gestational
hypertension who is at risk for preeclampsia. At each home care visit,
the nurse assesses the client for which classic signs of preeclampsia?
Select all that apply.
1.Proteinuria
2.Hypertension
3.Low-grade fever
, 4.Generalized edema
5.Increased pulse rate 6.Increased respiratory rate -<<<ANSWER>>>
1,2,4
The three classic signs of preeclampsia are hypertension, generalized
edema, and proteinuria. A low-grade fever, increased pulse rate, or
increased respiratory rate is not associated with preeclampsia.
The nurse is reviewing the record of a pregnant woman and notes that
the primary health care provider has documented the presence of
Chadwick's sign. Which assessment finding supports the presence of
Chadwick's sign?
1.Darkening of the areola 2.Softening of the uterine isthmus 3.Bluish
discoloration of cervix and vagina
4.Palpation of the uterus above the level of the symphysis pubis -
<<<ANSWER>>> 3
A home care nurse is monitoring a 16-year-old primigravida who is at
36 weeks' gestation and has gestational hypertension. Her blood pressure
during the past 3 weeks has been averaging 130/90 mm Hg. She has had
some swelling in the lower extremities and has had mild proteinuria.
Which statement by the woman should alert the nurse to the worsening
of gestational hypertension?
1."My vision for the past 2 days has been really fuzzy."
2."The swelling in my hands and ankles has gone down."
3."I had heartburn yesterday after I ate some spicy foods."
4."I had a headache yesterday, but I took some acetaminophen and it
went away." -<<<ANSWER>>> 1. "My vision the past 2 days has been
really fuzzy."Visual disturbances such as blurred vision, double vision,
or spots before the eyes indicate arterial spasms and edema in the retina
and may be a warning sign of worsening gestational hypertension.
Resolution of swelling is not an indicator of preeclampsia. Heartburn is
a common discomfort of pregnancy, especially with intake of spicy
foods. A continuous headache indicates poor cerebral perfusion; having
just one headache that is relieved with medication is not an indicator of
preeclampsia.
