A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?

Correct Answer: C

Rationale: The correct answer is option C: "How do you feel about the results?" This response is appropriate because it focuses on the client's emotional well-being and allows her to express her feelings freely. This open-ended question encourages dialogue and shows empathy towards the client during this significant moment. Option A, "Congratulations, you and your family must be so happy," is inappropriate because assuming the client's emotions and family dynamics may not be accurate or sensitive to the client's individual situation. Option B, "Have you told the baby’s father yet?" is premature and invasive, as the client may not have made decisions about sharing the news. Option D, "Please tell me when your last menstrual period was," is irrelevant at this moment as the focus should be on emotional support rather than medical history. In an educational context, it is crucial for nurses to prioritize the emotional well-being of clients, especially in sensitive situations like pregnancy confirmation. By asking open-ended questions and actively listening to clients, nurses can provide better support and build trusting relationships with those under their care.

Correct Answer: D

Rationale: The correct answer is D) You can take acetaminophen because it is a category 'B' medicine. Acetaminophen is considered safe for use during pregnancy when used as directed. It is classified as a category B medication, indicating no risk to the fetus in controlled studies. This response is best as it provides a safe and appropriate option for the client's headache. Option A is incorrect as it instills unnecessary fear and does not provide a specific recommendation. Option B is incorrect as not all over-the-counter medications are safe during pregnancy, and some may pose risks to the developing fetus. Option C is incorrect as category X medications are contraindicated during pregnancy due to their known risks to the fetus. In an educational context, it is crucial for healthcare providers to have a sound understanding of medication safety during pregnancy to provide accurate guidance to pregnant clients. This scenario highlights the importance of knowing pregnancy categories and recommending safe options for common complaints like headaches. Proper education ensures the well-being of both the mother and the developing fetus.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Diarrhea. Evening primrose oil is often recommended to help ripen the cervix due to its prostaglandin content, which can stimulate uterine contractions. Diarrhea is a common side effect of prostaglandins, making it important for the client to report this to her healthcare provider. Option B) Pedal edema is unlikely to be caused by evening primrose oil and is not a typical side effect associated with its use in pregnancy. Option C) Blurred vision and D) Tinnitus are also not commonly reported side effects of evening primrose oil. From an educational perspective, it is crucial for healthcare providers, especially nurse midwives, to understand the potential side effects of commonly recommended interventions during pregnancy. This knowledge helps in providing appropriate guidance to pregnant women and ensures their safety and well-being. By explaining the rationale behind the correct answer and debunking the incorrect options, students and practitioners can enhance their pharmacological knowledge and clinical decision-making skills in maternal monitoring.

Correct Answer: A

Rationale: In the third trimester of pregnancy, leg cramps are a common occurrence due to increased pressure on blood vessels and nerves, as well as changes in circulation. Therefore, experiencing leg cramps is considered normal during this stage of pregnancy. Varicose veins and hemorrhoids are also common in pregnancy due to increased blood volume and pressure on the veins, but they are not typically considered within normal limits as they can cause discomfort and require management. Fainting spells, on the other hand, can indicate more serious issues such as dehydration, low blood sugar, or low blood pressure, which should be investigated and managed promptly. In an educational context, understanding the physiological changes that occur during pregnancy is crucial for healthcare providers to provide optimal care for pregnant women. Recognizing what is considered normal versus abnormal can help in early identification of potential complications and appropriate interventions. It is essential for nurses working in prenatal care settings to be knowledgeable about these common symptoms and their implications to provide comprehensive care to pregnant individuals.

Correct Answer: B

Rationale: The correct answer is option B) Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor. Explanation: This option is correct because oxytocin, the hormone responsible for uterine contractions during labor, is also released during orgasm. However, the amount released during sexual activity is not significant enough to induce preterm labor at 26 weeks gestation. It is important to reassure the woman that experiencing an orgasm during pregnancy is normal and does not necessarily lead to preterm labor. Why others are wrong: A) Lie down and drink a quart of water. If you feel any back pressure at all call me back right away. This option does not address the woman's concerns about preterm labor and may cause unnecessary worry or confusion. C) I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked. This option may cause unnecessary alarm and lead to an unnecessary visit to the hospital without proper justification, potentially increasing the woman's anxiety and stress. D) The best thing for you to do right now is to take a warm shower and then do a fetal kick count assessment. This option does not address the woman's concerns about preterm labor after experiencing an orgasm during pregnancy. Fetal kick counts are important but are not the immediate priority in this scenario. Educational context: It is crucial for healthcare providers to offer accurate and reassuring information to pregnant women to alleviate their fears and ensure their well-being. Understanding the physiological changes that occur during pregnancy, such as the release of oxytocin during sexual activity, can help healthcare professionals provide appropriate guidance and support to expectant mothers. Empowering women with knowledge about their bodies can enhance their confidence and reduce unnecessary anxiety during pregnancy.