When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?

Correct Answer: C

Rationale: In the context of maternal monitoring during labor, the correct answer is C) Do you ever drink alcohol? This question is important because alcohol consumption during pregnancy can have significant adverse effects on both the mother and the developing fetus. It can lead to complications such as fetal alcohol syndrome, preterm birth, low birth weight, and developmental issues in the baby. Option A) What are the ages of your children? While understanding the ages of the children is important for comprehensive care, it is not directly related to the need for health teaching in a prenatal multigravida. Option B) What is your marital status? Marital status may have some relevance in assessing social support and potential stressors, but it is not as crucial as addressing alcohol consumption during pregnancy. Option D) Do you have any allergies? While knowing about allergies is essential for providing safe care, it is not directly linked to the specific health teaching needs of a prenatal multigravida. Educationally, this question emphasizes the importance of addressing alcohol use during pregnancy as a critical component of prenatal care. It highlights the nurse's role in educating pregnant individuals about the risks associated with alcohol consumption and promoting a healthy pregnancy for both the mother and the baby.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) The woman diagnosed with phenylketonuria should receive high-priority nutrition counseling. Phenylketonuria is a genetic disorder that impairs the body's ability to break down the amino acid phenylalanine, leading to its accumulation and potential toxicity. Therefore, this client requires specialized dietary management to avoid foods high in phenylalanine, especially during pregnancy, as excess phenylalanine can harm the developing fetus. Option B) The woman who has Graves' disease does not require immediate nutrition counseling solely based on the diagnosis of Graves' disease. While proper nutrition is important in managing Graves' disease, it is not the highest priority in this context. Option C) The woman with Cushing's syndrome may benefit from dietary modifications in the long run, but it is not an immediate priority compared to managing phenylketonuria during pregnancy. Option D) The woman diagnosed with myasthenia gravis may require specific dietary modifications due to potential swallowing difficulties associated with the condition, but it is not as critical as addressing the nutritional needs of a client with phenylketonuria during pregnancy. Educationally, this question highlights the importance of individualized care based on specific health conditions, especially during pregnancy when nutritional needs are heightened. It underscores the significance of recognizing high-priority interventions based on the unique requirements of each client to ensure optimal maternal and fetal outcomes.

Correct Answer: C

Rationale: The correct answer is C) Human placental lactogen. During pregnancy, the placenta produces human placental lactogen (hPL), which plays a crucial role in regulating maternal glucose and fat metabolism to ensure a continuous nutrient supply to the fetus. The glucose challenge screening test, performed around 24-28 weeks of gestation, evaluates how well the mother's body processes glucose and responds to the hormonal changes of pregnancy, particularly hPL. Option A) Estrogen is involved in various aspects of pregnancy, but it is not directly related to the maternal physiological response tested by the glucose challenge screening. Option B) Progesterone is essential for maintaining pregnancy and preparing the uterus for implantation, but it does not have a direct impact on maternal glucose metabolism as hPL does. Option D) Human chorionic gonadotropin (hCG) is produced by the placenta early in pregnancy and is the hormone detected by pregnancy tests. However, it is not the hormone primarily responsible for regulating maternal glucose metabolism and response, as hPL is. Educationally, understanding the role of hPL in maternal glucose metabolism is crucial for healthcare providers monitoring maternal health during pregnancy. Knowledge of the glucose challenge screening test and the hormones involved helps healthcare professionals identify and manage gestational diabetes, ensuring the well-being of both the mother and the developing fetus.

Correct Answer: C

Rationale: Evening primrose oil has been suggested to pregnant individuals as a complementary therapy due to its potential to ripen the cervix. This is the correct answer because evening primrose oil contains an essential fatty acid called gamma-linolenic acid (GLA) which is thought to stimulate the production of prostaglandins in the body. Prostaglandins are hormones that play a role in softening and ripening the cervix in preparation for labor. Option A, relieving back strain, is incorrect as evening primrose oil is not typically used for this purpose during pregnancy. Option B, improving the development of colostrum, is also incorrect as colostrum production is not directly influenced by evening primrose oil. Option D, reducing the incidence of hemorrhoids, is not a known benefit of evening primrose oil in the context of pregnancy. Educationally, it is important for healthcare providers working with pregnant individuals to have a good understanding of complementary therapies like evening primrose oil and their potential effects during pregnancy. This knowledge allows for informed discussions with patients about the benefits and risks of using such therapies, ultimately supporting shared decision-making in maternal care.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) Blood glucose. Monitoring blood glucose levels in a third-trimester client during routine prenatal care is crucial as it helps in identifying gestational diabetes or potential issues related to glucose metabolism. Gestational diabetes can pose risks to both the mother and the baby during pregnancy and delivery. By monitoring blood glucose levels, healthcare providers can intervene early with appropriate management strategies to ensure a healthy pregnancy outcome. Option B) Blood pressure is important in prenatal care, but in this specific case of a third-trimester client, monitoring blood glucose takes precedence over blood pressure as gestational diabetes is more likely to develop at this stage. Option C) Fetal heart rate monitoring is essential during labor but is not the primary focus during routine prenatal care in the third trimester. Option D) Urine protein is typically monitored for signs of preeclampsia, a condition characterized by high blood pressure and protein in the urine. While important, monitoring blood glucose is more relevant in this scenario as it directly assesses the client's metabolic status during pregnancy. Educationally, understanding the rationale behind the need for specific prenatal monitoring tests is vital for healthcare providers to provide comprehensive care to pregnant clients. By prioritizing and interpreting these tests correctly, healthcare professionals can intervene early, prevent complications, and promote positive maternal and fetal outcomes.