The nurse is teaching a pregnant client how to decrease the gastrointestinal distress she experiences with prenatal vitamins. Which instruction would the nurse provide?

Correct Answer: A

Rationale: The correct answer is A: Take her vitamins between meals. This instruction is correct because taking prenatal vitamins between meals can help decrease gastrointestinal distress by reducing the likelihood of experiencing nausea or vomiting that may occur when taking vitamins on an empty stomach or with food. It allows for better absorption of the vitamins while minimizing the chances of stomach upset. Choice B is incorrect as eating when taking vitamins may exacerbate gastrointestinal distress. Choice C is incorrect as orange juice may also contribute to stomach upset due to its acidity. Choice D is incorrect as milk may interfere with the absorption of certain vitamins and minerals present in the prenatal vitamins.

Correct Answer: C

Rationale: The correct answer is C because brisk walking can help stimulate contractions by using gravity to encourage the baby's descent. This physical activity can engage the baby's head on the cervix, promoting the release of oxytocin, a hormone that triggers labor. This is a non-invasive and natural method that can be safe for most pregnant individuals. Choice A is incorrect because there are non-medication methods like brisk walking that can help start labor. Choice B is incorrect as amniocentesis is not typically used to initiate labor but to assess lung maturity. Choice D is incorrect as it mentions medication for labor induction, which was not the patient's initial inquiry about non-medication options.

Correct Answer: A

Rationale: The correct answer is A because ensuring the safety and well-being of the patient is the top priority in nursing care. By monitoring the patient's response to the epidural and assessing for any complications, the nurse can provide timely interventions if needed. Administering low-flow oxygen (B) may not be necessary unless there is a specific indication. Turning the patient on her left side (C) is important for labor progress but not the priority in this scenario. Option D is incomplete.

Correct Answer: C

Rationale: The correct answer is C because newborns lack appropriate intestinal flora to synthesize vitamin K. This is important as newborns are at risk of vitamin K deficiency bleeding due to insufficient stores at birth. Choice A is incorrect because vitamin K primarily plays a role in coagulation, not platelet production. Choice B is incorrect as newborns can produce vitamin K but are deficient in intestinal flora. Choice D is incorrect because vitamin K is synthesized by gut bacteria, not in bone marrow.

Correct Answer: C

Rationale: The correct answer is C: Hepatitis B. This is important because Hepatitis B is a bloodborne virus that can be transmitted from mother to newborn during childbirth, leading to serious health complications. The other choices, A (Rubeola) and B (Hepatitis A), are not typically transmitted from mother to newborn during childbirth. Choice D (HIV/AIDS) can also be transmitted from mother to newborn during childbirth, but assessing for Hepatitis B is especially crucial due to the high risk of transmission and potential long-term consequences for the newborn.