The prenatal clinic nurse is caring for a 15-year-old client who is at 8 weeks' gestation. The client asks the nurse why she is supposed to gain so much weight. What is the best response by the nurse?

1. "Gaining 25-35 pounds is recommended for healthy fetal growth."
2. "It's what your certified nurse-midwife recommended for you."
3. "Inadequate weight gain delays lactation after delivery."
4. "Weight gain is important to ensure that you get enough vitamins."


1
Explanation: 1. For an appropriate-weight woman, 25-35 pounds of weight gain is recommended for optimal fetal growth and development.

Nursing

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You see a nursing assistant hitting a resident. What should you do?

a. Talk to the resident. b. Call the police. c. Tell the administrator. d. Mind your own business.

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The client who has self-initiated a low-carbohydrate diet asks the nurse, "Why do carbohydrates cause obesity?" Which statement by the nurse is most appropriate?

1. "Carbohydrates cause a release of insulin from the pancreas, which coverts carbohydrates to fat." 2. "Carbohydrates reduce the number of fat cells in certain body areas, such as hips and abdomen." 3. "Carbohydrates trigger a release of fat and protein from the liver and cause weight gain." 4. "Carbohydrates alone do not cause obesity."

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The uterine fundus is measured:

A) horizontally from one side of the uterus to the other side. B) vertically from the top of the pubic bone to the top of the fundus. C) from just below the umbilicus to the inferior part of the sternum. D) vertically from the top of the fundus to just below the umbilicus.

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