A client is 35 weeks’ gestation.

Correct Answer: D

Rationale: The correct answer is D) Use of three pillows for sleep comfort. During the third trimester of pregnancy, which is typically from 28 weeks until birth, it is common for pregnant individuals to experience discomfort while trying to sleep. Using multiple pillows to support the abdomen, back, and hips can help alleviate this discomfort and improve sleep quality. Option A) Nausea and vomiting is a common symptom experienced during the first trimester of pregnancy due to hormonal changes, typically resolving by the second trimester. At 35 weeks' gestation, it is less likely to be a primary concern. Option B) Maternal ambivalence, which refers to mixed feelings or uncertainty about the pregnancy, is a psychosocial aspect that is not directly related to physical symptoms at 35 weeks' gestation. Option C) Fundal height 10 cm above the umbilicus is a measurement used to assess fetal growth and position during pregnancy. While this measurement can provide important clinical information, it does not directly address the discomfort associated with sleep during the third trimester. In an educational context, understanding the common discomforts and challenges faced by pregnant individuals during different stages of pregnancy is essential for healthcare providers, especially those involved in maternal monitoring during labor. Educating pregnant individuals about strategies to improve sleep quality can help promote overall well-being during this critical time.

Correct Answer: D

Rationale: The correct answer to the question is option D: "I am so glad to see that you are taking so much interest in your partner’s pregnancy." This response is the most appropriate because it acknowledges and praises the partner's involvement and support during the pregnancy, creating a positive and supportive atmosphere. Option A is incorrect because it may come across as judgmental or insensitive towards the father's weight gain. Option B is inappropriate as it focuses on weight loss rather than acknowledging the father's support during the pregnancy. Option C is also not suitable as it places blame on the father for the partner's eating habits, which can be damaging to their relationship. In an educational context, it is crucial for healthcare professionals, especially nurses, to promote positive communication and support within the family unit during pregnancy. Acknowledging and encouraging the partner's involvement can contribute to a healthier and more positive pregnancy experience for both the mother and father. This approach fosters a sense of partnership and shared responsibility in the journey of pregnancy and childbirth.

Correct Answer: B

Rationale: In pharmacology, understanding maternal nutrition during labor is crucial due to its impact on both maternal and fetal well-being. In this scenario, the correct answer is Client 2 because she consumed the most dairy servings in one day. Dairy products are a rich source of calcium, which is essential for muscle contraction, including uterine contractions during labor. Client 1 might not have consumed the most dairy servings as indicated by the options. Client 3 and Client 4 may have consumed dairy products, but they did not consume as many servings as Client 2 based on the information provided. Educationally, this question highlights the importance of understanding the role of nutrition, specifically dairy consumption, in maternal health during labor. It reinforces the significance of calcium intake for muscle function, particularly during the labor process. Students learning about pharmacology in maternal care can apply this knowledge to support optimal maternal and fetal outcomes during labor.

Correct Answer: B

Rationale: The correct answer is B) Hamburger. Iron is an essential mineral during pregnancy as it helps in the formation of red blood cells and prevents anemia, which is common in pregnant women. Red meat, like hamburger, is a rich source of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant-based foods. Raisins (Option A) also contain iron, but in lower amounts than red meat. Broccoli (Option C) and molasses (Option D) are sources of non-heme iron, which is not as readily absorbed by the body as heme iron. In the context of maternal monitoring during labor, understanding the importance of iron-rich foods can help healthcare providers educate pregnant women on maintaining adequate iron levels to support their health and the health of their baby. Encouraging a balanced diet that includes sources of heme iron, like red meat, can play a crucial role in preventing iron deficiency anemia during pregnancy, which can lead to complications for both the mother and the baby.

Correct Answer: D

Rationale: In pharmacology, understanding fetal development is crucial for monitoring maternal health during pregnancy and labor. In this context, knowing which fetal structures are well-formed by the end of the first trimester is essential for assessing the fetus's health. The correct answer is D) Kidneys. By the end of the first trimester, the fetal kidneys are well-formed and functioning, playing a vital role in filtering waste products from the amniotic fluid. Option A) Genitals, Option B) Heart, and Option C) Fingers are not fully formed by the end of the first trimester. While the development of these structures begins during the first trimester, they are not fully mature or functional at this stage. Educationally, this question emphasizes the timeline and sequence of fetal development, highlighting the importance of monitoring fetal growth and organ formation throughout pregnancy. Understanding these milestones is crucial for healthcare providers to assess the fetus's well-being and detect any abnormalities early on.