NUR 409 RQ1 EXAM 2025 QUESTIONS
AND ANSWERS
736. Then nurse is counseling the client who is trying to become pregnant. To promote fetal
health when the client is unaware of pregnancy, the nurse should stress the inclusion of which
nutrient in daily food intake?
1. Potassium
2. Calcium
3. Folic acid
4. Sodium - ANS 3. Folic acid is important in preventing neural tube defects, especially during
the first 4 weeks of fetal development
737. The nurse is reviewing the medication hx of the client during preconception couseling. The
client reports taking isotretinoin for acne. Which is nurse's BEST response?
1. Stop taking isotretonoin now! It can cause serious birth defects if you become pregnant.
2. You need to be on some type of birth control now. Getting pregnant is not an option.
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,3. Talk with your HCP about changing the drug before you consider becoming pregnant.
4. Once you are off the drug for treating acne, then you can safely become pregnant. -
ANS 3. This response indicates that the med is not safe but that upon consulting her HCP,
alternative medications can be prescribed
738. The nurse is counseling the client who has SLE. The client tells the nurse that she plans to
become pregnant int he next year. Which response by the nurse is correct?
1. It is best to plan your pregnancy when you have been in remission for 6 months
2. HAving SLE will not impact your pregnancy in any way
3. Your chances of having an infant with congenital malformities are increased with SLE
4. You will need to be scheduled for C-section delivery to prevent disease transmission -
ANS 1. Pregnancy palled during period of inactive or stable disease often results in giving
birth to a healthy full-term baby without increased risks of pregnancy complications
739. The 22 year old client tells the clinic nurse that her last menstrual period was 3 months
ago, which began Nov. 21. She has a positive urine pregnancy test. Using Naegle's rule, which
date should the nurse calculate to be the clients estimated date of confinement?
1. Aug. 28
2. Jan. 28
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,3. Aug 15
4. Jan 15 - ANS 1. To calculate the EDC using Naegle's rule, you subtract 3 months and add 7
days.
740. The client, who is Chinese American and pregnant, is receiving nutritional counseling about
the need for increased amounts of calcium in her diet. Which response by the nurse is most
helpful when the client states she does not consume any dairy products?
1. Tell me how you perceive dairy products in your culture
2. Try having a glass of soy milk every night before bed
3. Tell me about your intake of fortified tofu and leafy green veggies
4. Rice milk fortified with calcium and nettle tea are good calcium choices - ANS 3. Assessing
the client's intake of calcium-rich foods is the best response. Both fortified tofu and leafy green
veggies are high in calcium and are common foods consumed int he Chinese American diet
741. The client tells the nurse, "Most day I am so happy I am pregnant, but other days I am not
so sure I am ready to have a baby" Which response by the nurse is most accurate?
1. This is such a happy time in your life. You need to be optimistic and feel happy.
2. How does your spouse feel about the baby? I hope he is happy about the pregnancy
3. Feeling differently from day to day is normal. How do you feel today?
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, 4. Why do you feel this way? Is there something I can do to make it better for you? - ANS 3.
It's most therapeutic to acknowledge the clients feelings and probe for more info on her
thoughts and feelings about the pregnancy
742. The nurse is teaching the pregnant client during her first trimester. The nurse identifies
that which decision is most important for her to make first?
1. Bottle vs. breastfeeding
2. Labor and delivery location
3. Pain management during delivery
4. Method of delivery for the baby - ANS 2. Decision regarding labor and delivery location is
the priority for the client in order to properly plan for a home birth vs hospital birth, HCP
availability at location, and type of labor and delivery setting available at the location
743. The pregnant client is experiencing low back pain. After determining that the client is not
in labor, the nurse instructs the client to perform which exercises to increase comfort and
decrease the incidence of the low back pain? SATA
1. Kegel exercises
2. Pelvic tilt exercises
3. Leg raises
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AND ANSWERS
736. Then nurse is counseling the client who is trying to become pregnant. To promote fetal
health when the client is unaware of pregnancy, the nurse should stress the inclusion of which
nutrient in daily food intake?
1. Potassium
2. Calcium
3. Folic acid
4. Sodium - ANS 3. Folic acid is important in preventing neural tube defects, especially during
the first 4 weeks of fetal development
737. The nurse is reviewing the medication hx of the client during preconception couseling. The
client reports taking isotretinoin for acne. Which is nurse's BEST response?
1. Stop taking isotretonoin now! It can cause serious birth defects if you become pregnant.
2. You need to be on some type of birth control now. Getting pregnant is not an option.
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
,3. Talk with your HCP about changing the drug before you consider becoming pregnant.
4. Once you are off the drug for treating acne, then you can safely become pregnant. -
ANS 3. This response indicates that the med is not safe but that upon consulting her HCP,
alternative medications can be prescribed
738. The nurse is counseling the client who has SLE. The client tells the nurse that she plans to
become pregnant int he next year. Which response by the nurse is correct?
1. It is best to plan your pregnancy when you have been in remission for 6 months
2. HAving SLE will not impact your pregnancy in any way
3. Your chances of having an infant with congenital malformities are increased with SLE
4. You will need to be scheduled for C-section delivery to prevent disease transmission -
ANS 1. Pregnancy palled during period of inactive or stable disease often results in giving
birth to a healthy full-term baby without increased risks of pregnancy complications
739. The 22 year old client tells the clinic nurse that her last menstrual period was 3 months
ago, which began Nov. 21. She has a positive urine pregnancy test. Using Naegle's rule, which
date should the nurse calculate to be the clients estimated date of confinement?
1. Aug. 28
2. Jan. 28
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
,3. Aug 15
4. Jan 15 - ANS 1. To calculate the EDC using Naegle's rule, you subtract 3 months and add 7
days.
740. The client, who is Chinese American and pregnant, is receiving nutritional counseling about
the need for increased amounts of calcium in her diet. Which response by the nurse is most
helpful when the client states she does not consume any dairy products?
1. Tell me how you perceive dairy products in your culture
2. Try having a glass of soy milk every night before bed
3. Tell me about your intake of fortified tofu and leafy green veggies
4. Rice milk fortified with calcium and nettle tea are good calcium choices - ANS 3. Assessing
the client's intake of calcium-rich foods is the best response. Both fortified tofu and leafy green
veggies are high in calcium and are common foods consumed int he Chinese American diet
741. The client tells the nurse, "Most day I am so happy I am pregnant, but other days I am not
so sure I am ready to have a baby" Which response by the nurse is most accurate?
1. This is such a happy time in your life. You need to be optimistic and feel happy.
2. How does your spouse feel about the baby? I hope he is happy about the pregnancy
3. Feeling differently from day to day is normal. How do you feel today?
3 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
, 4. Why do you feel this way? Is there something I can do to make it better for you? - ANS 3.
It's most therapeutic to acknowledge the clients feelings and probe for more info on her
thoughts and feelings about the pregnancy
742. The nurse is teaching the pregnant client during her first trimester. The nurse identifies
that which decision is most important for her to make first?
1. Bottle vs. breastfeeding
2. Labor and delivery location
3. Pain management during delivery
4. Method of delivery for the baby - ANS 2. Decision regarding labor and delivery location is
the priority for the client in order to properly plan for a home birth vs hospital birth, HCP
availability at location, and type of labor and delivery setting available at the location
743. The pregnant client is experiencing low back pain. After determining that the client is not
in labor, the nurse instructs the client to perform which exercises to increase comfort and
decrease the incidence of the low back pain? SATA
1. Kegel exercises
2. Pelvic tilt exercises
3. Leg raises
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