Author Question: A pregnant client is receiving counseling related to proper nutrition for fetal development. When ... (Read 23 times)

Sportsfan2111 · **on:** Jul 23, 2018

A pregnant client is receiving counseling related to proper nutrition for fetal development. When told that an iron supplement is advised, the woman says, Why should I take iron? I was never told I was anemic.

Which is the nurse's best response?
1. Your body needs more iron than usual for the baby, and you will temporarily have a greater blood volume.
2. Your body does not absorb iron from food as readily because you are pregnant. A supplement will prevent anemia.
3. More iron is eliminated from your body because of the increased urine output you experience during pregnancy. The supplement will prevent anemia.
4. Nausea will probably keep you from eating enough meat to keep your iron up, so the supplement will prevent anemia.

Question 2

Lab work reveals that a client has an extremely low neutrophil count. The nurse recognizes that colony-stimulating factors (CSFs) can increase the white blood cell count, provided that the client has normal function of which organ?

1. Liver
2. Bone marrow
3. Kidney
4. Gastrointestinal tract

shoemake · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: More iron is needed during pregnancy because of increased demand from the woman's body and the fetus.
Rationale 2: Pregnancy does not affect the absorption of iron.
Rationale 3: Iron is eliminated in the stool and in the urine, but elimination does not increase during pregnancy.
Rationale 4: Not all women are nauseated during pregnancy. Nausea is a side effect of iron tablets.
Global Rationale: More iron is needed during pregnancy because of increased demand from the woman's body and the fetus. Pregnancy does not affect the absorption of iron. Iron is eliminated in the stool and in the urine, but elimination does not increase during pregnancy. Not all women are nauseated during pregnancy. Nausea is a side effect of iron tablets.

Answer to Question 2

Correct Answer: 2
Rationale 1: Liver function does not affect the production of colony-stimulating factor.
Rationale 2: The bone marrow must be functional for CSFs to achieve their desired effect.
Rationale 3: Colony-stimulating factors are produced by various cells, but not by the kidney.
Rationale 4: The gastrointestinal tract is not involved in the production of CSFs.
Global Rationale: The bone marrow must be functional for CSFs to achieve their desired effect. Liver function does not affect the production of colony-stimulating factor. Colony-stimulating factors are produced by various cells, but not by the kidney. The gastrointestinal tract is not involved in the production of CSFs.