During a wellness visit a young adult client asks for information ...

[Jkov05]

During a wellness visit a young adult client asks for information regarding weight management and exercise prior to pregnancy. What should the nurse explain to this client? Select all that apply.
 
  1. Reduce the intake of complex carbohydrates.
  2. Achieve normal weight for height before conceiving.
  3. Begin an exercise program a month before conceiving.
  4. Select an exercise program to be followed throughout the pregnancy.
  5. Reduce weight to below normal for height to compensate for pregnancy weight gain.

Question 2

During a health interview the nurse determines that a client contemplating pregnancy would benefit from teaching on preconception health measures. What information did the nurse use to make this clinical determination? Select all that apply.
 
  1. Smokes one half of a pack per day of cigarettes
  2. Works in an industrial plant
  3. Drinks decaffeinated coffee
  4. Drinks 4 ounces red wine every evening
  5. Takes over-the-counter antacids as needed

[johnharpe]

Answer to Question 1

3, 4
Explanation:
1. No particular food group should be avoided for adequate nutritional status.
2. Before conception, it is advisable for the woman to be at an average weight for her body build and height.
3. A woman is advised to establish a regular exercise plan beginning at least 3 months before she plans to attempt to become pregnant.
4. The exercise should be one she enjoys and will continue.
5. Weight should not be reduced to an unhealthy level before conceiving.

Answer to Question 2

1, 2, 4, 5
Explanation:
1. One preconception health measure is smoking cessation.
2. One preconception health measure is identifying environmental hazards.
3. Avoiding caffeine several months before conception is a preconception health measure.
4. One preconception health measure is alcohol intake.
5. One preconception health measure is the use of over-the-counter medications.