FA Davis Maternity CH 14 questions and answers well detailed.

FA Davis Maternity CH 14 questions and answers well detailed. A client in the prenatal clinic complains of nausea and vomiting. Which intervention should the nurse suggest? a. Eat dry crackers or toast before arising in the morning. b. Consume liquids with meals. c. Eat foods high in fiber. d. Brush teeth right after eating. - correct answer.A. Eat dry crackers or toast before arising in the morning. Rationale: Eating dry crackers or toast before arising in the morning is a good intervention for a client complaining of prenatal nausea. Foods high in fiber help with constipation problems, not with nausea. Brushing teeth after meals can trigger vomiting. Consuming liquids with meals can cause over-distention of the stomach. A second-trimester client in the prenatal clinic complains of ankle edema. Which intervention should the nurse suggest? a. Elevate legs when sitting. b. Stretching exercises before bedtime. c. Practice plantar flexion when standing. d. Wear ankle socks daily. - correct answer.A. Elevate legs when sitting. Rationale: Elevating the legs when sitting will assist circulation and therefore reduce edema. Dorsiflexion and avoiding any restrictive bands around the ankles are appropriate to prevent ankle edema. Stretching exercises before bedtime help relieve leg cramps. A prenatal client at 10 weeks' gestation is complaining of urinary frequency. Which self-care strategy should the nurse teach? a. Empty bladder every 4 hours. b. Decrease the amount of fluid intake. c. Empty the bladder when the urge is felt. d. Empty bladder every hour. - correct answer.C. Empty the bladder when the urge is felt. Rationale: Fluid intake should be maintained at 2,000 mL, not decreased. The bladder should be emptied every 2 hours, not every hour (too frequent) or every 4 hours (not frequent enough). The bladder should be emptied when the urge is felt, not delayed. A prenatal client in the third trimester of pregnancy is diagnosed with varicosities in the vulva and perineum. Which self-care strategy should the nurse teach? a. Change shoes several times throughout the day. b. Elevate legs and feet while sitting or lying down. c. Elevate legs level with hips while sitting or lying down. d. Use supportive hose in the afternoon and evening. - correct answer.C. Elevate legs level with hips while sitting or lying down. Rationale: The hips, as well as the feet and legs, must be elevated to promote venous drainage into the trunk. Supportive hose need to be applied in the morning, rather than starting in the afternoon or evening. Changing shoes might help with back pain but not with varicosities. A pregnant client complains of severe heartburn. The nurse suggests which of the following relief measures for heartburn? a. Avoid fried and highly spiced foods. b. Lie down for half an hour after eating. c. Take a teaspoon of sodium bicarbonate in water after meals. d. Eat three well-spaced meals each day. - correct answer.A. Avoid fried and highly spiced foods. Rationale: Remedies for heartburn include eating small and more frequent meals; avoiding fried and highly spiced foods; and remaining upright for at least an hour after meals. Use of low- sodium antacids also may be suggested. The use of sodium bicarbonate should be discouraged. The nurse is teaching a group of prenatal clients about care of the breasts during pregnancy. Which self-care measure might be effective for women with inverted nipples? a. A bra with wide straps. b. A bra with tucks that allow expansion for breast tissue. c. Breast shields. d. A bra that supports the nipple between shoulder and elbow. - correct answer.C. Breast Shields Rationale: Breast shields designed to correct inverted nipples are effective for some women, but others gain no benefit from them. A well-fitting supportive bra that: (1) has