Page 717 - Saunders Comprehensive Review For NCLEX-RN

Test-Taking Strategy: Note the word worsening in the question. Eliminate options
1, 2, and 3 because these options are comparable or alike and indicate normal
findings.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Maternity: Antepartum
Health Problem: Maternity: Gestational hypertension/preeclampsia and eclampsia
Priority Concepts: Clinical Judgment; Perfusion
Reference: Lowdermilk et al. (2016), pp. 654, 660.

206. Answer: 1

Rationale: When a loss or death occurs, the nurse should ensure that parents have
been honestly told about the situation by their primary health care provider or
others on the health care team. It is important for the nurse to be with the parents at
this time and to use therapeutic communication techniques. The nurse must also
consider cultural and religious/spiritual practices and beliefs. The correct option
provides a supportive, giving, and caring response. Options 2, 3, and 4 are blocks to
communication and devalue the parents’ feelings.
Test-Taking Strategy: Use knowledge of therapeutic communication techniques
to answer the question. The correct option is the only option that reflects use of
therapeutic communication techniques.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Caring
Content Area: Maternity: Postpartum
Health Problem: Maternity: Fetal distress/demise
Priority Concepts: Communication; Coping
Reference: Lowdermilk et al. (2016), pp. 911, 918.

207. Answer: 3

Rationale: Exercise is safe for a client with gestational diabetes mellitus and is
helpful in lowering the blood glucose level. Dietary modifications are the mainstay
of treatment, and the client is placed on a standard diabetic diet. Many clients are
taught to perform blood glucose monitoring. If the client is not performing the blood
glucose monitoring at home, it is performed at the clinic or obstetrician’s office. Signs
of infection need to be reported to the obstetrician.
Test-Taking Strategy: Note the strategic words, need for further teaching. These
words indicate a negative event query and the need to select an incorrect client
statement. Also, noting the closed-ended word “avoid” in the correct option will
assist in answering the question.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Maternity: Antepartum

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