A client is 8 weeks pregnant and has been eating more times during the day but ingesting smaller amounts of food at each meal or snack. What is her most likely goal?

Correct Answer: B

Rationale: The correct answer is B: Managing waves of nausea. During early pregnancy, many women experience nausea, and eating small, frequent meals can help manage this symptom. Eating smaller amounts of food at each meal or snack can help prevent overwhelming the stomach and minimize nausea. Weight loss is unlikely in early pregnancy, preventing gastric reflux is not typically a goal at 8 weeks, and managing daytime fatigue is not typically addressed by eating smaller, more frequent meals.

Correct Answer: A

Rationale: The correct answer is A, changes in the cervix. Goodell's sign refers to the softening of the cervix that occurs during early pregnancy due to increased vascularity and hormonal changes. This sign is an important indicator of pregnancy and is typically observed during the first trimester. Choice B, changes in the uterus, is incorrect because Goodell's sign specifically refers to changes in the cervix, not the uterus as a whole. Choice C, passive movement of an unengaged fetus, is incorrect as Goodell's sign is not related to fetal movement. Choice D, fetus that has begun to descend and engage in the pelvis, is also incorrect as Goodell's sign occurs much earlier in pregnancy before the fetus engages in the pelvis.

Correct Answer: B

Rationale: The correct answer is B because when sitting with both feet on the floor, it promotes proper circulation and reduces the risk of developing varicose veins. Elevating legs and avoiding crossing them also help. Choice A is incorrect as knee-high hose may constrict circulation. Choice C is irrelevant to varicosities. Choice D is important for monitoring fetal health but not directly related to varicose veins.

Correct Answer: D

Rationale: The correct answer is D: Avoid foods that contain a lot of fat. This is the best response because fatty foods can worsen heartburn and reflux by relaxing the lower esophageal sphincter, leading to acid reflux. By avoiding high-fat foods, the client can reduce the likelihood of experiencing heartburn and reflux symptoms. Rationale: 1. High-fat foods can delay stomach emptying, causing food to stay longer in the stomach, increasing the risk of reflux. 2. Fatty foods can trigger the production of more stomach acid, exacerbating heartburn and reflux. 3. Avoiding high-fat foods can help decrease pressure on the stomach, reducing the likelihood of acid reflux. 4. Other options (A, B, C) do not address the root cause of heartburn and reflux associated with high-fat foods. In summary, choosing option D to avoid high-fat foods is the most appropriate response to help alleviate the client's heartburn and reflux symptoms during pregnancy.

Correct Answer: A

Rationale: The correct answer is A: It is probable that the hCG levels were not high enough to be detected last week. This is because hCG (human chorionic gonadotropin) is the hormone produced during pregnancy that is detected in pregnancy tests. In early pregnancy, hCG levels can be low and may not be detectable by a urine test until they reach a certain threshold. Therefore, a negative test last week could be due to the hCG levels being below the detection threshold at that time. A positive test today indicates that the hCG levels have increased and are now detectable. Summary of why the other choices are incorrect: B: It is likely that you may not be pregnant, so wait to see if you get your period. This is incorrect because a positive test indicates pregnancy, and waiting for a period may not be appropriate if the woman is indeed pregnant. C: Don't worry, this happens sometimes. You should perform another test in a few days. This