The nurse is preparing a teaching plan for a group of pregnant clients. Which of the following should the nurse include in this teaching session? Standard Text: Select all that apply
1. Do not use soap on my nipples.
2. Sleep 8–10 hours each night.
3. Eat four servings of dairy products daily.
4. Do not take iron supplements due to constipation.
5. Avoid resting in a back lying position.
1,2,3,5
Rationale 1: Do not use soap on my nipples. The use of soap on the nipples will result in drying and should be avoided.
Rationale 2: Sleep 8–10 hours each night. Pregnant women are in need of adequate rest and sleep. Sleeping 8 to 10 hours each night is recommended.
Rationale 3: Eat four servings of dairy products daily. The dietary needs of the pregnant woman will involve approximately 1000 mg of calcium daily. The needed calcium can be obtained by ingesting 4 servings from the dairy group each day.
Rationale 4: Do not take iron supplements due to constipation. Dietary intake during pregnancy cannot meet the iron required for the needs of both mother and baby. Iron supplements are needed to meet the needs of pregnant women. While constipation may be associated with iron supplementation, discontinuing the medication is contraindicated. The client experiencing constipation should be instructed to increase fluid and fiber intake to promote bowel regulation instead of not taking the needed iron supplements.
Rationale 5: Avoid resting in a back-lying position. Lying on the back is contraindicated as the pregnancy progresses. Back-lying positions will result in the compression of the vena cava and may cause reduced perfusion, lightheadedness, and dizziness.
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The use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are contraindicated in clients with which of the following medical conditions? Select all that apply
A) Bilateral stenosis B) Angioedema C) Pregnancy D) Diabetes E) Hyperlipidemia
A client has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
a. "I know I will need to have an abortion as soon as possible." b. "Even though my test is positive, my baby might not be affected." c. "My baby is certain to have AIDS and die within the first year of life." d. "This pregnancy will probably decrease the chance that I will develop AIDS."
The client shows the home care nurse a cloudy bottle of regular insulin. Which does the nurse include in client teaching?
1. Regular insulin must be clear. 2. Most forms of insulin are cloudy. 3. Regular insulin needs refrigeration. 4. Warm temperature clears the insulin.
You are the nurse working with the caregivers of a child who is being discharged from the pediatric unit of the hospital. You have been teaching the caregivers about safe storage, use, and disposal of medicines
Which of the following statements by one of the caregivers would indicate he or she had understood your teachings? a. "When we get home, we are going to give our baby her candy (medicine) just like you told us: every day at the same times." b. "We will give her the antibiotic every day until it is finished and not save any of it." c. "My brother's boy is coming down with something similar to what our girl had, so I told him he should try some of our medicine." d. "I think I have this same prescription at home already from my sickness, so I understand I can use it, as long as it's the correct dosage for a child."