Exam (elaborations)
Nausea in Pregnancy: Nonpharmacologic Measures
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Nausea in Pregnancy:Nonpharmacologic Measures
1. A patient in her first trimester of pregnancy calls the nurse to ask for suggestions on decreasing
nausea in the morning when she awakens. Which nonpharmacologic measures would the nurse be
aware of to decrease nausea and vomiting? (Select all that apply.)
a. Eating dry toast before rising
b. Eating small frequent meals
c. Eating a high-protein bedtime snack
d. Eating high-fat foods - ANS a. Eating dry toast before rising
b. Eating small frequent meals
c. Eating a high-protein bedtime snack
2. When nonpharmacological treatment fails for constipation, which drug would be a first-line
treatment for constipation during pregnancy?
a. Docusate sodium
b. Magnesium citrate
c. Castor oil
d. Mineral oil - ANS Docusate sodium
3. The nurse is teaching a pregnant client how to decrease the gastrointestinal distress she
experiences with prenatal vitamins. Which instruction would the nurse provide?
a. Take her vitamins between meals
b. Eat when she takes her vitamins
c. Drink orange juice when she takes her vitamins
d. Drink milk when she takes her vitamins - ANS Eat when taking vitamins
4. The nurse, working with a preconceptional couple at an infertility clinic, advises the woman to
take which supplement for at least 3 months before becoming pregnant?
a. Iron
b. Ginger
c. Folic acid
, d. Vitamin B6 - ANS Folic acid
5. A patient with severe preeclampsia is on magnesium sulfate. Which initial action by the nurse
would be most appropriate for a magnesium sulfate level of 7 mEq/L?
a. Continue to monitor the patient because this level is therapeutic.
b. Contact the health care provider and report the level.
c. Prepare to administer 1 g of calcium gluconate.
d. Turn the patient on her left side and administer 10 liters of oxygen by nasal cannula. - ANS a.
Continue to monitor the patient because this level is therapeutic.
6. Which assessment finding is most concerning when examining a client in preterm labor who is
receiving magnesium sulfate?
a. Feelings of lethargy
b. Feelings of warmth
c. Loss of patellar reflexes
d. Positive clonus +2 bilaterally - ANS Loss of patellar reflexes
7. The patient has been receiving magnesium sulfate intravenously for 24 hours to treat severe
preeclampsia. On assessment, the nurse finds a temperature of 37.3°C (99°F), pulse of 88,
respirations at 14, blood pressure of 138/76, 2+ patellar reflexes, and negative ankle clonus. Which
intervention would be most appropriate for the nurse to take? Answer D
a. Obtain a stat magnesium sulfate level.
b. Discontinue magnesium sulfate.
c. Contact the health care provider.
d. Continue to monitor the patient. - ANS d. Continue to monitor the patient.
8. A primigravida patient, 8 gestational weeks, is at the prenatal clinic for her first examination with
complaints of nausea and vomiting "every morning." Which comment made by the patient would
indicate the need for further instruction?
a. "My friend gave me ginger cookies to eat."
b. "I have been eating dry crackers before I get up."
c. "I have tried to avoid foods with strong smells."
d. "I have been drinking chamomile tea every day." - ANS d. "I have been drinking chamomile tea
every day."
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