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A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.Which of the following statements by the client indicates an understanding of the teaching?

A.

“I should expect to feel pain in my upper right abdomen if I’m having preterm labor.”.

B.

“If I have contractions more often than every 10 minutes, I might be in preterm labor.”.

C.

“I can take a daily iron supplement to prevent preterm labor.”.

D.

“I might be experiencing preterm labor if walking stops my contractions.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Pain in the upper right abdomen is not a typical sign of preterm labor. Preterm labor symptoms include regular contractions, lower back pain, and pelvic pressure.

 

Choice B rationale

 

Contractions occurring more frequently than every 10 minutes can indicate preterm labor. Regular contractions are a key sign of preterm labor.

 

Choice C rationale

 

While iron supplements are important during pregnancy, they do not prevent preterm labor. Preterm labor is influenced by various factors, including infections and uterine abnormalities.

 

Choice D rationale

 

Walking typically does not stop contractions associated with preterm labor. In fact, activity can sometimes exacerbate contractions.


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Correct Answer is B

Explanation

Choice A rationale

A large banana is not a significant source of dietary calcium. While bananas are nutritious and provide potassium and vitamin C, they do not contain enough calcium to meet the needs of a pregnant client who does not consume dairy products.

Choice B rationale

Kale is an excellent non-dairy source of calcium. Dark leafy greens like kale are rich in calcium, with approximately 90 mg of calcium per cup when cooked. Including kale in the diet can help pregnant women meet their calcium needs, especially if they do not consume dairy products.

Choice C rationale

A baked potato is not a significant source of dietary calcium. While potatoes provide several nutrients, including potassium and vitamin C, they do not contain enough calcium to be recommended as a primary source for a pregnant client who does not consume dairy products.

Choice D rationale

White corn is not a significant source of dietary calcium. While it can contribute to overall nutritional intake, it does not provide enough calcium to meet the needs of a pregnant client who does not consume dairy products.

Correct Answer is A

Explanation

Choice A rationale

A hemoglobin level of 9.5 g/dL is low for a full-term newborn and should be reported to the provider. Normal hemoglobin levels for newborns range from 14 to 24 g/dL4.

Choice B rationale

A white blood cell count of 10,000/mm³ is within the normal range for a newborn, which is typically between 9,000 and 30,000/mm³4.

Choice C rationale

A glucose level of 60 mg/dL is within the normal range for a newborn, which is typically between 40 and 60 mg/dL4.

Choice D rationale

A platelet count of 225,000/mm³ is within the normal range for a newborn, which is typically between 150,000 and 450,000/mm³4.

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