When planning a diet with a pregnant client, what should the ...

[MGLQZ]

When planning a diet with a pregnant client, what should the nurse's first action be?
 
  a. Teach the client about MyPlate.
  b. Review the client's current dietary intake.
  c. Instruct the client to limit the intake of fatty foods.
  d. Caution the client to avoid large doses of vitamins, especially those that are fat-soluble.

Question 2

The nurse is assessing a client in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to asses? (Select all that apply.)
 
  a. The client is excited to see her baby.
  b. The client has not started to prepare the nursery for the new baby.
  c. The client expresses concern about how to know if labor has started.
  d. The client and her spouse are concerned about getting to the birth center in time.
  e. The client and her spouse have not discussed how they will share household tasks.

[taylorsonier]

Answer to Question 1

ANS: B
The first action should be to assess the client's current dietary pattern and practices because instruction should be geared to what she already knows and does. Teaching the food guide MyPlate is important but not the first action when planning a diet with a pregnant client. Limiting intake of fatty foods is important in a pregnant client's diet but not the first action. Cautioning about excessive fat-soluble vitamins is important but not the first action.

Answer to Question 2

ANS: A, C, D
As birth nears, the expectant client will express a desire to see the baby. Most pregnant clients are concerned with their ability to determine when they are in labor. Many couples are anxious about getting to the birth facility in time for the birth. As birth nears, a nesting behavior occurs, which means getting the nursery ready. Not preparing the nursery at this stage is not a response that the nurse should expect to assess. Negotiation of tasks is done during this stage. No discussion of division of household chores is not a response that the nurse should expect to assess at this stage.

[MGLQZ]

Gracias!

[sailorcrescent]

TYSM