Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mothers vaginal bleeding and finds that she has saturated two pads in 30 minutes and has a boggy uterus. What action should the nurse implement first?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: The correct answer is B because reviewing the patient's current dietary intake provides crucial information on their nutrition status and helps identify any deficiencies or excesses. This step allows for personalized dietary recommendations tailored to the patient's specific needs. A: Teaching about MyPlate is a general recommendation but does not address the individual patient's dietary requirements. C: Instructing to limit fatty foods is a generic recommendation and may not be appropriate for every patient. D: Cautioning against large doses of fat-soluble vitamins is important, but it is not the initial step in assessing the patient's overall dietary intake.

Correct Answer: D

Rationale: The correct answer is D: Complex carbohydrates. During pregnancy, complex carbohydrates provide essential energy, fiber, vitamins, and minerals for both the mother and the developing baby. They help regulate blood sugar levels and provide sustained energy. Fats, although important, should be consumed in moderation. Fiber is crucial for digestive health but is not the major source of nutrients during pregnancy. Simple sugars should be limited as they provide empty calories and can lead to blood sugar spikes. Therefore, complex carbohydrates are the optimal choice for this patient's diet during pregnancy.

Correct Answer: D

Rationale: To increase iron absorption, it should be taken with Vitamin C. Orange juice is high in Vitamin C, which enhances non-heme iron absorption. Tea and coffee contain tannins that inhibit iron absorption. Milk contains calcium, which can interfere with iron absorption. Therefore, the correct choice is D as it provides the necessary Vitamin C to improve iron absorption.

Correct Answer: D

Rationale: The correct answer is D: In the second trimester. During the second trimester, the demand for iron significantly increases due to the rapid growth of the fetus and expansion of maternal blood volume. This is the optimal time to begin iron supplementation to prevent iron deficiency anemia in both the mother and the developing baby. Starting iron supplementation in the first trimester may not be necessary as iron needs are not as high yet. Waiting until the third trimester may lead to insufficient time for iron stores to build up adequately. Beginning before pregnancy is not necessary unless the mother has pre-existing iron deficiency.