,1. The nurse is preparing to teach a client about the physiological changes that
occur during pregnancy. Which of the following should the nurse teach as an
increased physiological change?
A. Gastrointestinal (GI) contractility
B. Blood pressure
C. Cardiac output
Correct Answer:
C. Cardiac output
Expert Rationale:
During pregnancy, there is a significant increase in maternal cardiac output to
meet the metabolic demands of the mother and the developing fetus. This
physiological adaptation begins early in the first trimester, peaks in the second
trimester, and remains elevated until term. Gastrointestinal contractility typically
decreases, leading to symptoms like constipation, whereas blood pressure
remains the same or decreases slightly due to decreased systemic vascular
resistance.
2. The nurse has provided dietary teaching for a pregnant client with iron
deficiency anemia. Which of the following meal options indicates the client
understood the teaching?
A. Chicken salad sandwich with almonds and raisins
B. Toasted cheese sandwich with celery sticks
C. Red beans with whole-grain and mixed greens
D. Oatmeal, whole wheat toast and jelly
Correct Answer:
C. Red beans with whole-grain and mixed greens
Expert Rationale:
,Red beans and mixed greens are rich sources of non-heme iron, and pairing them
with whole grains provides added fiber and essential nutrients, promoting iron
absorption. Vitamin C from greens enhances non-heme iron absorption. The
other options contain less iron or lack components to enhance iron absorption.
3. The nurse is teaching a client who is in the 10th week of pregnancy about
morning sickness. Which of the following should the nurse include in the
teaching?
A. Avoid all fluids during meals to prevent nausea
B. Eat small, frequent meals throughout the day
C. Increase intake of spicy and fatty foods to settle the stomach
D. Take antiemetic medication immediately upon waking
Correct Answer:
B. Eat small, frequent meals throughout the day
Expert Rationale:
The nurse should teach the client to eat small, frequent meals, avoid spicy and
fatty foods, keep crackers at the bedside to eat before rising, stay hydrated, and
avoid an empty stomach. Ginger and vitamin B6 may help, and severe vomiting
(hyperemesis gravidarum) should be reported.
4. The nurse is teaching a client about symptoms to report during her pregnancy.
Which of the following statements by the client indicates a correct understanding
of the teaching?
A. "If I have any fluid leaking from my vagina, I must call the clinic immediately."
B. "I'll report increased frequency of urination."
C. "Nausea should be reported immediately."
D. "If I feel tired after resting, I should report it immediately."
, Correct Answer:
A. "If I have any fluid leaking from my vagina, I must call the clinic immediately."
Expert Rationale:
Sudden or continuous leakage of fluid may indicate rupture of membranes,
increasing the risk for infection or preterm labor, and requires prompt evaluation.
Increased urination and fatigue are common discomforts of pregnancy, while
nausea is expected in the first trimester unless it becomes severe.
5. The charge nurse is discussing probable signs of pregnancy with a newly hired
nurse. The newly hired nurse correctly identifies which of the following as a
probable sign of pregnancy?
A. Goodell sign
B. Breast tenderness
C. Fetal heart rate (FHR) detected on Doppler
D. Negative serum pregnancy test
Correct Answer:
A. Goodell sign
Expert Rationale:
A probable sign of pregnancy is an objective finding strongly suggestive of
pregnancy. Goodell sign, which is softening of the cervix, is a classic probable sign.
Breast tenderness is a presumptive sign, fetal heart rate detection is a positive
sign, and a negative pregnancy test rules out pregnancy.
6. The nurse is talking to a client who is 18 weeks pregnant about preparing her 7-
year-old daughter for the new sibling. Which of the following recommendations is
best for the nurse to make based on the child's age?
occur during pregnancy. Which of the following should the nurse teach as an
increased physiological change?
A. Gastrointestinal (GI) contractility
B. Blood pressure
C. Cardiac output
Correct Answer:
C. Cardiac output
Expert Rationale:
During pregnancy, there is a significant increase in maternal cardiac output to
meet the metabolic demands of the mother and the developing fetus. This
physiological adaptation begins early in the first trimester, peaks in the second
trimester, and remains elevated until term. Gastrointestinal contractility typically
decreases, leading to symptoms like constipation, whereas blood pressure
remains the same or decreases slightly due to decreased systemic vascular
resistance.
2. The nurse has provided dietary teaching for a pregnant client with iron
deficiency anemia. Which of the following meal options indicates the client
understood the teaching?
A. Chicken salad sandwich with almonds and raisins
B. Toasted cheese sandwich with celery sticks
C. Red beans with whole-grain and mixed greens
D. Oatmeal, whole wheat toast and jelly
Correct Answer:
C. Red beans with whole-grain and mixed greens
Expert Rationale:
,Red beans and mixed greens are rich sources of non-heme iron, and pairing them
with whole grains provides added fiber and essential nutrients, promoting iron
absorption. Vitamin C from greens enhances non-heme iron absorption. The
other options contain less iron or lack components to enhance iron absorption.
3. The nurse is teaching a client who is in the 10th week of pregnancy about
morning sickness. Which of the following should the nurse include in the
teaching?
A. Avoid all fluids during meals to prevent nausea
B. Eat small, frequent meals throughout the day
C. Increase intake of spicy and fatty foods to settle the stomach
D. Take antiemetic medication immediately upon waking
Correct Answer:
B. Eat small, frequent meals throughout the day
Expert Rationale:
The nurse should teach the client to eat small, frequent meals, avoid spicy and
fatty foods, keep crackers at the bedside to eat before rising, stay hydrated, and
avoid an empty stomach. Ginger and vitamin B6 may help, and severe vomiting
(hyperemesis gravidarum) should be reported.
4. The nurse is teaching a client about symptoms to report during her pregnancy.
Which of the following statements by the client indicates a correct understanding
of the teaching?
A. "If I have any fluid leaking from my vagina, I must call the clinic immediately."
B. "I'll report increased frequency of urination."
C. "Nausea should be reported immediately."
D. "If I feel tired after resting, I should report it immediately."
, Correct Answer:
A. "If I have any fluid leaking from my vagina, I must call the clinic immediately."
Expert Rationale:
Sudden or continuous leakage of fluid may indicate rupture of membranes,
increasing the risk for infection or preterm labor, and requires prompt evaluation.
Increased urination and fatigue are common discomforts of pregnancy, while
nausea is expected in the first trimester unless it becomes severe.
5. The charge nurse is discussing probable signs of pregnancy with a newly hired
nurse. The newly hired nurse correctly identifies which of the following as a
probable sign of pregnancy?
A. Goodell sign
B. Breast tenderness
C. Fetal heart rate (FHR) detected on Doppler
D. Negative serum pregnancy test
Correct Answer:
A. Goodell sign
Expert Rationale:
A probable sign of pregnancy is an objective finding strongly suggestive of
pregnancy. Goodell sign, which is softening of the cervix, is a classic probable sign.
Breast tenderness is a presumptive sign, fetal heart rate detection is a positive
sign, and a negative pregnancy test rules out pregnancy.
6. The nurse is talking to a client who is 18 weeks pregnant about preparing her 7-
year-old daughter for the new sibling. Which of the following recommendations is
best for the nurse to make based on the child's age?
