A client planning to have her first baby comes to the healthcare facility for a preconceptual visit. Which of the following instructions should the nurse give the client as part of preconceptional care?
A) Eat sweets at bedtime if the client wakes up feeling hungry.
B) Eat sour, salty foods (potato chips, lemonade) to prevent nausea.
C) Replace insulin with an oral diabetic agent.
D) Avoid prescription drugs once pregnancy is confirmed.
B
Feedback:
The nurse should tell the client to eat sour, salty foods (potato chips, lemonade) to prevent nausea. The nurse should not tell the client to eat sweets at bedtime if she wakes up feeling hungry because she may have a rapid rise in blood sugar, followed by a sharp drop. The nurse should not tell a client with diabetes to change over to an oral diabetic agent, because oral diabetic agents are usually teratogenic. The nurse should tell the client to avoid prescription drugs before conception and after pregnancy is confirmed.
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