When assessing the fruit intake of a pregnant client, the nurse notes that the client usually eats 1 piece of fruit per day and drinks a 12 oz glass of fruit juice per day. Which of the following is the most important communication for the nurse to make?

Correct Answer: C

Rationale: In the context of advanced maternal age monitoring in pregnancy, the most important communication for the nurse to make in this scenario is option C: "It would be even better if you were to consume more whole fruits and less fruit juice." This choice is correct because while fruit juice can provide some nutrients, whole fruits offer additional benefits such as fiber, antioxidants, and other essential nutrients that are crucial for maternal and fetal health during pregnancy. Option A is incorrect because simply meeting daily fruit requirements does not necessarily address the quality of the fruit intake. Option B is incorrect because while some fruit juices may be fortified with folic acid, whole fruits are a more natural and beneficial source of this important nutrient. Option D is incorrect as it inaccurately states that the client's fruit intake far exceeds the recommended daily intake, which is not the case based on the information provided. Educationally, it is important for nurses to emphasize the importance of consuming whole fruits over fruit juices to pregnant clients due to the additional nutritional benefits they provide. Educating clients on making healthier food choices can help promote optimal maternal and fetal health outcomes during pregnancy, especially in cases of advanced maternal age where nutritional needs may be higher. It is essential for healthcare providers to provide evidence-based guidance to support pregnant individuals in making informed decisions about their diet and overall well-being.

Correct Answer: B

Rationale: In the context of advanced maternal age monitoring, it is crucial for nurses to be knowledgeable about potential complications and interventions, including addressing issues like pica. Pica is a condition characterized by cravings for non-nutritive substances like ice, soil, or starch, which can be harmful during pregnancy. The correct answer, B) Replace ice with frozen fruit juice, is the most appropriate alternative to suggest to someone practicing pica. Frozen fruit juice can satisfy the desire for something cold and crunchy like ice, while also providing some nutritional value from the fruit juice. This substitution helps address the underlying craving while offering a safer and more nutritious option. Option A) Replace laundry starch with salt is not a suitable alternative as salt does not address the textural or nutritional aspects of the craving for laundry starch. Option C) Replace soap with cream cheese and Option D) Replace soil with uncooked pie crust are also incorrect as they do not provide appropriate substitutes that address the underlying cravings associated with pica. Educationally, this question highlights the importance of understanding pica in pregnant individuals, the potential risks associated with it, and the role of nurses in providing appropriate alternatives to address cravings in a safe and healthy manner during pregnancy. Nurses play a vital role in educating and supporting pregnant individuals in making positive choices for their health and the health of their baby.

Correct Answer: A

Rationale: In embryology, the morula stage occurs after the zygote undergoes several rounds of cell division and forms a solid ball of cells. The correct answer, A) Fertilized egg has yet to implant, is true about the morula stage. At this point, the morula is still traveling down the fallopian tube and has not yet implanted into the uterine lining. Option B) Lung fields are completely formed is incorrect because lung development occurs much later in fetal development, during the embryonic and fetal periods, not at the morula stage. Option C) Sex of fetus can be identified is incorrect as sexual differentiation typically occurs during the embryonic period, which follows the morula stage. Option D) Eyelids begin to open and close is also incorrect as eyelid development happens during the fetal period, not at the morula stage. Educationally, understanding the different stages of embryonic development is crucial in fields like obstetrics and pharmacology. Knowing the characteristics of each stage helps healthcare providers monitor fetal development, predict potential issues, and provide appropriate care for pregnant individuals. In this case, recognizing the features of the morula stage can aid in identifying normal versus abnormal development in early pregnancy.

Correct Answer: B

Rationale: Lanugo typically appears around 16-20 weeks and covers the entire body by 22-24 weeks. Nails begin forming at around 18-20 weeks and are fully developed by 22 weeks. Fused eyelids occur up until about 24-26 weeks, after which they open. Quickening (feeling of fetal movement) usually occurs between 18-22 weeks in first-time pregnancies. Therefore, the most likely gestational age is 22 weeks.