1) A nurse in a woman's health clinic is providing teaching about nutritional
intake to a client who is at 8 weeks of gestation. The nurse should
instruct the client to increase her daily intake of which of the following
nutrients?
Calcium
The recommendation for calcium intake during pregnancy is the same as that for
women who are not pregnant: 1,300 mg/day for women younger than 19 years old
and 1,000 mg/day for women between the ages of 19 and 50 years old.
Vitamin E
The recommendation for vitamin E intake during pregnancy is 15 mg/day, the same
as that for women who are not pregnant.
Iron
The recommendation for iron intake during pregnancy is higher than that for women
who are not pregnant. For women who are pregnant, it is 27 mg/day. For women who
are not pregnant, it is 15 mg/day for women younger than 19 years old and 18
mg/day for women between the ages of 19 and 50 years old.
Vitamin D
The recommendation for vitamin D intake during pregnancy is 600 IU/day, the same
as
2) A nurse is caring for a client who has uterine hypotonicity and is
experiencing postpartum hemorrhage. Which of the following actions is
the nurse's priority?
Check the client's capillary refill.
It is important for the nurse to monitor capillary refill in order to track baseline data
for this client. However, another action is the nurse's priority.
Massage the client's fundus.
Uterine hypotonicity and postpartum hemorrhage indicate that this client is at the
greatest risk for hypovolemic shock. This can compromise the perfusion to the
client's vital organs, causing death to occur. Therefore, the nurse's priority is to
massage the client's fundus in order to minimize blood loss.
Insert an indwelling urinary catheter for the client.
It is important for the nurse to insert an indwelling urinary catheter in order to assess
the client for hypovolemia. However, another action is the nurse's priority.
Prepare the client for a blood transfusion.
It is important for the nurse to prepare the client for a blood transfusion in order to
replace the amount of blood lost from postpartum hemorrhage. However, another
action is the nurse's priority.
3) A nurse is providing discharge teaching to a parent whose newborn has
just had a circumcision. Which of the following instructions should the
nurse include?
Apply slight pressure with a sterile gauze pad for mild bleeding.
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