Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A client in her first trimester is concerned about how weight gain will affect her appearance and questions the nurse concerning dietary restrictions.
How much weight gain should the nurse point out will be safe for this client with a low BMI?
A. 15 to 25 pounds (7 to 11 kilograms).
Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.
B. 28 to 40 pounds (13 to 18 kilograms).
28 to 40 pounds (13 to 18 kilograms). Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.
C. 16 to 30 pounds (7.25 to 14 kilograms).
Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.
D. 25 to 35 pounds (11 to 16 kilograms).
Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom- Wn23 NS122 Proctored Exam. Take the full exam now
Full Explanation
28 to 40 pounds (13 to 18 kilograms).
Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.
Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.
Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.
Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.
Similar Questions
A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.
Which of the following information should the nurse include?
A. This test will screen for gestational diabetes.
Choice A is incorrect because this test does not screen for gestational diabetes.
B. This test will screen for fetal maturity.
Choice B is incorrect because this test does not screen for fetal maturity.
C. This test will screen for neural tube defects.
The MSAFP test measures the levels of alpha-fetoprotein (AFP) in the mother’s body. AFP is a protein produced by the baby during pregnancy. Too much AFP in the mother’s body may indicate that the baby is at risk of a neural tube defect, like spina bifida.
D. This test will screen for ABO incompatibility.
Choice D is incorrect because this test does not screen for ABO incompatibility.
Full Explanation
The MSAFP test measures the levels of alpha-fetoprotein (AFP) in the mother’s body.
AFP is a protein produced by the baby during pregnancy.
Too much AFP in the mother’s body may indicate that the baby is at risk of a neural tube defect, like spina bifida.
Choice A is incorrect because this test does not screen for gestational diabetes.
Choice B is incorrect because this test does not screen for fetal maturity.
Choice D is incorrect because this test does not screen for ABO incompatibility.
A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).
After notifying the provider, which of the following actions should the nurse take?
A. Administer misoprostol vaginally.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
B. Administer acetaminophen orally.
Acetaminophen can be used to reduce fever during pregnancy.
C. Prepare the client for placement of an intrauterine pressure catheter.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
D. Recheck the client's temperature in 2 hr.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.
Full Explanation
Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.
The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated.
The nurse should prioritize which discussion with the client.
A. Risk for Down syndrome.
Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
B. Risk for neural tube defects.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
C. Further testing is required.
Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida. However, further testing is required to confirm the results and determine the cause of the elevated levels.
D. Test needs to be repeated.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.
Full Explanation
Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida.
However, further testing is required to confirm the results and determine the cause of the elevated levels.
Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.