Page 714 - Saunders Comprehensive Review For NCLEX-RN

made by the client, indicates an understanding of the information provided
by the nurse?
1. “I should increase my sodium intake during pregnancy.”
2. “I should lower my blood volume by limiting my fluids.”
3. “I should maintain a low-calorie diet to prevent any weight gain.”
4. “I should drink adequate fluids and increase my intake of high-
fiber foods.”
214. The clinic nurse is performing a psychosocial assessment of a client who has
been told that she is pregnant. Which assessment findings indicate to the
nurse that the client is at risk for contracting human immunodeficiency virus
(HIV)? Select all that apply.

1. The client has a history of intravenous drug use.
2. The client has a significant other who is heterosexual.

3. The client has a history of sexually transmitted infections.

4. The client has had one sexual partner for the past 10 years.

5. The client has a previous history of gestational diabetes

mellitus.
215. The nurse in a maternity unit is providing emotional support to a client and
her significant other who are preparing to be discharged from the hospital
after the birth of a dead fetus. Which statement made by the client indicates a
component of the normal grieving process?
1. “We want to attend a support group.”
2. “We never want to try to have a baby again.”
3. “We are going to try to adopt a child immediately.”
4. “We are okay, and we are going to try to have another baby
immediately.”
216. The nurse evaluates the ability of a hepatitis B–positive mother to provide
safe bottle-feeding to her newborn during postpartum hospitalization. Which
maternal action best exemplifies the mother’s knowledge of potential disease
transmission to the newborn?
1. The mother requests that the window be closed before feeding.
2. The mother holds the newborn properly during feeding and
burping.
3. The mother tests the temperature of the formula before initiating
feeding.
4. The mother washes and dries her hands before and after self-care
of the perineum and asks for a pair of gloves before feeding.
217. A client in the first trimester of pregnancy arrives at a health care clinic and
reports that she has been experiencing vaginal bleeding. A threatened
abortion is suspected, and the nurse instructs the client regarding
management of care. Which statement made by the client indicates a need
for further instruction?
1. “I will watch to see if I pass any tissue.”
2. “I will maintain strict bed rest throughout the remainder of the
pregnancy.”

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