A 38-week gestation client, Bishop score 1, is advised by her nurse midwife to take evening primrose daily. The office nurse advises the client to report which of the following side effects that has been attributed to the oil?

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Diarrhea. Evening primrose oil is known to have a side effect of causing diarrhea due to its high content of gamma-linolenic acid. This fatty acid can stimulate the gastrointestinal tract, resulting in loose stools or diarrhea. Option B) Pedal edema is incorrect because evening primrose oil is not typically associated with causing edema or fluid retention in the lower extremities. Option C) Blurred vision is also incorrect as evening primrose oil is not known to have a direct impact on vision or cause blurred vision. Option D) Tinnitus is not a commonly reported side effect of evening primrose oil, so this option is incorrect. From an educational perspective, understanding the side effects of commonly used supplements like evening primrose oil is crucial for healthcare providers, especially those caring for pregnant clients. This knowledge helps in counseling and monitoring patients effectively to ensure their safety and well-being. Encouraging clients to report any adverse effects promptly is essential in managing their care appropriately.

Correct Answer: B

Rationale: The correct answer is B: "Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor." This answer is correct because oxytocin, the hormone released during orgasm, is not typically enough to induce preterm labor at 26 weeks of gestation. It is important to reassure the patient in this situation to alleviate her fears and anxiety. Option A is incorrect because drinking water and monitoring for back pressure may not be the most appropriate response to this situation. Option C is not the best choice as it may cause unnecessary stress and inconvenience to the patient by rushing her to the hospital without a clear medical indication. Option D is also not ideal as a warm shower and fetal kick count assessment are not directly addressing the patient's concerns about preterm labor after orgasm. In an educational context, it is crucial for healthcare providers to have a good understanding of the physiology of pregnancy and be able to provide accurate information and reassurance to patients. This case highlights the importance of effective communication and patient education in addressing common concerns related to pregnancy and sexual activity.

Correct Answer: B

Rationale: Before stopping birth control in preparation for pregnancy, a woman should be counseled to see a medical doctor (Option B). This is crucial because a healthcare provider can offer personalized advice based on the woman's medical history, current health status, and any specific risks or considerations she may have. The doctor can also provide guidance on optimizing health before conception, such as ensuring vaccinations are up to date and addressing any pre-existing conditions that may impact pregnancy. Option A, taking a daily multivitamin, is generally good advice for women planning pregnancy to ensure adequate intake of essential nutrients like folic acid. However, it is not directly related to the immediate step of stopping birth control. Option C, drinking beer instead of vodka, is not appropriate advice for a woman planning pregnancy. Alcohol consumption should ideally be minimized or avoided altogether when trying to conceive to reduce potential harm to the developing fetus. Option D, stopping all over-the-counter medications, is too broad. While it is important to review medications with a healthcare provider before pregnancy, not all over-the-counter medications need to be stopped, and some may be safe to continue using during pregnancy. In an educational context, it is important for individuals to understand the significance of preconception care and the role of healthcare providers in guiding them through this process. Making informed decisions and seeking professional advice can optimize the chances of a healthy pregnancy and baby.

Correct Answer: A

Rationale: Tofu, legumes, and broccoli provide essential nutrients like protein, iron, and calcium that are often lacking in a vegan diet. Corn, yams, and green beans offer carbohydrates and vitamins but lack sufficient protein sources. Potatoes, parsnips, and turnips are starchy vegetables with limited nutritional variety. Cheese, yogurt, and fish are non-vegan options.

Correct Answer: B

Rationale: In the context of pharmacology, understanding proper nutrition during pregnancy is crucial for maternal and fetal health. The correct answer, option B) 2 eggs, is equivalent to a 2 oz protein serving. Eggs are not only a good source of high-quality protein, but they also contain essential nutrients like choline which is important for fetal brain development. Option A) 4 tbsp peanut butter is not equivalent to a 2 oz protein serving as the quantity provided is not a standard measure of protein. Peanut butter is a good source of protein but the serving size does not align with the question. Option C) 1 cup cooked lima beans is not equivalent to a 2 oz protein serving as the quantity provided is much larger than the specified serving size in the question. While lima beans are a vegetarian source of protein, the portion size is not accurate. Option D) 2 ounces mixed nuts is also not equivalent to a 2 oz protein serving as nuts are more commonly associated with healthy fats rather than being a primary source of protein. The protein content in mixed nuts may vary depending on the types of nuts included. Educationally, this question highlights the importance of understanding portion sizes and protein sources during pregnancy. It emphasizes the need for pregnant individuals to consume adequate amounts of protein to support the growth and development of the fetus. A clear understanding of proper nutrition can help prevent complications and promote overall health during pregnancy.