The nurse is counseling a client on the proper con- admitted to the labor and delivery unit complaining sumption of fish and fish products while pregnant. of mild contractions that are 10 minutes apart. How much fish should the nurse instruct the client After performing Leopold's maneuvers, the nurse to eat? determines that a hard round object is in the uterine

Correct Answer: C

Rationale: The correct answer is C: 12 to 16 ounces of a variety of fish every week. During pregnancy, fish is a good source of protein and omega-3 fatty acids which are beneficial for fetal development. Consuming 12 to 16 ounces per week is recommended by health authorities for pregnant women to get essential nutrients without excessive mercury intake. Choice A (8 to 12 ounces of fish every week) is not enough for optimal nutrition during pregnancy. Choice B (8 to 12 ounces of fish every month) is too infrequent for consistent nutrient intake. Choice D (12 to 16 ounces of fish every month) is also inadequate as the frequency is not sufficient for optimal fetal development. Therefore, choice C is the best option for ensuring adequate nutrient intake while minimizing risks associated with mercury consumption.

Correct Answer: B

Rationale: Self-awareness with postural adjustments can lead to tension release because it allows individuals to identify and correct any muscular imbalances or poor postural habits. By being aware of their body positioning and making necessary adjustments, individuals can reduce muscle tension and promote proper alignment, leading to relaxation and alleviation of tension. This proactive approach helps prevent the buildup of tension in muscles, ultimately promoting overall well-being. Incorrect Choices: A: Tension formation - Self-awareness with postural adjustments helps prevent tension formation by addressing imbalances. C: Suboptimal posture - Self-awareness promotes optimal posture by making adjustments. D: Back pain - Proper postural adjustments can alleviate back pain, not cause it.

Correct Answer: D

Rationale: The correct answer is D: Calcium gluconate. In cases of magnesium sulfate toxicity, calcium gluconate is administered as an antidote due to its ability to counteract the effects of magnesium. Magnesium and calcium ions have an antagonistic relationship in the body, so administering calcium gluconate can help reverse the toxic effects of magnesium. Nifedipine (A), Pyridoxine (B), and Ferrous sulfate (C) do not have a direct antidote effect on magnesium toxicity and are not indicated for this purpose.

Correct Answer: A

Rationale: Step 1: Methylergonovine is a uterotonic drug used to prevent or treat postpartum hemorrhage by causing uterine contractions. Step 2: Fundus firmness indicates effective contraction of the uterus, helping to control bleeding. Step 3: A firm fundus also suggests proper involution of the uterus, a crucial process in postpartum recovery. Step 4: Increase in blood pressure (B) is not a desired effect of methylergonovine and could indicate adverse reactions. Step 5: Increase in lochia (C) could suggest excessive bleeding or incomplete uterine contraction. Step 6: Absence of breast pain (D) is not directly related to the effectiveness of methylergonovine in controlling postpartum bleeding.

Correct Answer: C

Rationale: The correct answer is C: "This is a cephalhematoma, which can occur spontaneously." 1. Cephalhematoma is a subperiosteal hemorrhage that does not cross suture lines and is due to trauma during delivery. 2. Caput succedaneum (choice B) occurs due to pressure during labor and resolves within a few days. 3. Mongolian spots (choice A) are benign bluish-grey birthmarks commonly found in newborns and are not related to head swelling. 4. Erythema toxicum (choice D) is a common rash in newborns, not related to head swelling. In summary, the correct choice is C because it accurately describes the condition observed in the newborn after vacuum-assisted delivery.