A client who recently learned of being pregnant tells the nurse ...

[futuristic]

A client who recently learned of being pregnant tells the nurse that she stopped eating meat years ago and started eating fish daily because it is healthier. Which teaching points are appropriate for this client based on her current diet?
 
  Select all that apply.
  A) Avoid shrimp, salmon, and catfish because these have higher mercury levels.
  B) Eat up to 12 ounces a week of a variety of fish and shellfish.
  C) Avoid albacore tuna because it has more mercury than other canned tuna.
  D) Eat plenty of fish such as swordfish and shark while pregnant.
  E) Follow a complete vegetarian diet while pregnant as an alternative to eating fish.

Question 2

The nurse is providing care for a 2-year-old client. When assessing the client's risk for abuse, which increase this client's risk? Select all that apply.
 
  A) The child has bruises on the knees and shins.
  B) The child's parents are married.
  C) The child is less than 3 years old.
  D) The child is deaf.
  E) The child's parents are unemployed and receive medical assistance.

[xiazhe]

Answer to Question 1

Answer: B, C

Nearly all fish contain traces of mercury. Mercury can place the developing nervous system of the fetus at risk and cause negative effects on cognitive functioning. The nurse should instruct the client to eat up to 12 ounces a week of a variety of fish and shellfish. The nurse should advise the client to avoid albacore tuna because it has more mercury than other canned tuna. Swordfish and shark should be avoided because they contain high levels of mercury. The nurse should not suggest that the client consume a complete vegetarian diet because this could lead to other nutritional deficiencies. The nurse should encourage the client to consume shrimp, salmon, and catfish, because these fish have the least amount of mercury.

Answer to Question 2

Answer: C, D, E

Risk factors for child abuse include poverty, age less than 3 years, and child disability or condition that requires a great deal of care. Marriage of the parents and bruises on the knees and shins are not risk factors for abuse.

[futuristic]

Thank you

[xiazhe]

Happy to help you