Prenatal Education And Warning Signs - NCLEX Rn

What abdominal pain location is a preeclampsia warning sign that requires urgent evaluation?

Right upper quadrant or epigastric pain. This location suggests hepatic involvement, potentially indicating HELLP syndrome or severe preeclampsia.
What total gestational weight gain is recommended for an overweight BMI ( $25.0$ – $29.9$ )?

$15$ – $25$ lb (about $7$ – $11.5$ kg). Limited gain reduces risks of hypertension and cesarean delivery associated with excessive weight in overweight pregnancies.
Which daily supplement is recommended in pregnancy to reduce neural tube defect risk?

Folic acid (prenatal vitamin containing folate). Recommended to prevent neural tube defects like spina bifida by supporting early fetal neural development during organogenesis.
Which warning sign in pregnancy requires immediate evaluation: vaginal bleeding or mild nausea?

Vaginal bleeding. Any vaginal bleeding may indicate serious conditions like miscarriage, placenta previa, or abruption requiring prompt assessment.
Which uterine activity before term is a warning sign: regular contractions or occasional Braxton Hicks?

Regular contractions before $37$ weeks. Regular preterm contractions may indicate preterm labor, requiring tocolysis or evaluation to prevent early birth.
What change in fetal movement should be reported immediately after viability is established?

Decreased or absent fetal movement. Reduced movement post-viability may indicate fetal hypoxia or distress necessitating immediate evaluation.
What is the standard instruction for counting fetal movements used in prenatal education?

Report fewer than $10$ movements in $2$ hours. Fetal kick counting assesses well-being; fewer than 10 in 2 hours prompts further monitoring for potential compromise.
Which food should be avoided in pregnancy due to toxoplasmosis risk: undercooked meat or cooked poultry?

Undercooked meat. Undercooked meat can contain Toxoplasma gondii parasites, causing congenital toxoplasmosis with neurological damage.
Which food should be avoided to reduce listeriosis risk: unpasteurized soft cheese or pasteurized yogurt?

Unpasteurized soft cheeses. Unpasteurized cheeses may harbor Listeria monocytogenes, leading to severe fetal infections or miscarriage.
What total gestational weight gain is recommended for an underweight BMI (less than $18.5$ )?

$28$ – $40$ lb (about $12.5$ – $18$ kg). Higher gain allows for maternal weight normalization and adequate fetal nutrition in underweight individuals.
What total gestational weight gain is recommended for a normal BMI ( $18.5$ – $24.9$ )?

$25$ – $35$ lb (about $11.5$ – $16$ kg). Institute of Medicine guidelines recommend this range to support fetal growth while minimizing complications like gestational diabetes.
Which medication class should be avoided in pregnancy due to fetal harm: ACE inhibitors or acetaminophen?

ACE inhibitors. ACE inhibitors are teratogenic, causing fetal renal dysplasia and oligohydramnios when used in pregnancy.
What is the recommended vaccine during each pregnancy to protect the newborn from pertussis?

Tdap during $27$ – $36$ weeks (each pregnancy). Administered in third trimester to maximize maternal antibodies transferred to newborn for pertussis protection.
What is the recommended daily elemental iron supplementation in uncomplicated pregnancy?

Elemental iron $30$ mg per day. Supplementation prevents maternal anemia due to increased blood volume and fetal iron demands in pregnancy.
What infection-related warning sign in pregnancy requires prompt evaluation?

Fever at least $38$ °C ( $100.4$ °F). Elevated temperature may signal intrauterine infection like chorioamnionitis, risking maternal and fetal sepsis.
What is the recommended position to reduce supine hypotensive syndrome in late pregnancy?

Left lateral (side-lying) position. This position alleviates inferior vena cava compression, improving cardiac output and uterine perfusion.
What total gestational weight gain is recommended for an obese BMI (at least $30.0$ )?

$11$ – $20$ lb (about $5$ – $9$ kg). Minimal gain helps mitigate obesity-related complications like preeclampsia and macrosomia.
Which symptom suggests preeclampsia and should be reported immediately: severe headache or mild fatigue?

Severe headache. Persistent severe headache can signal hypertensive disorders like preeclampsia with cerebral involvement.
What cat-related prevention teaching reduces toxoplasmosis risk during pregnancy?

Avoid changing litter; if necessary, use gloves and hand hygiene. Cat litter may contain Toxoplasma oocysts; avoidance or precautions prevent maternal infection and fetal transmission.
Which urinary symptom in pregnancy should be reported as a possible UTI warning sign?

Dysuria, urgency, or flank pain. These symptoms suggest urinary tract infection, which can progress to pyelonephritis and trigger preterm labor.
Which edema pattern is a pregnancy warning sign: sudden face/hand swelling or mild ankle swelling?

Sudden swelling of face or hands. Sudden non-dependent edema can signify preeclampsia due to capillary leak and endothelial dysfunction.
What visual symptom is a key warning sign of preeclampsia that must be reported promptly?

Visual changes (blurred vision or scotomata). Such changes may indicate cerebral edema or ischemia associated with severe preeclampsia.
What is the key warning sign of ruptured membranes that should be reported promptly?

Gush or continuous leakage of fluid from vagina. Suggests premature rupture of membranes, increasing risks of infection and preterm delivery.
Which vaccine is contraindicated during pregnancy because it is live: MMR or inactivated influenza?

MMR (live vaccine is contraindicated in pregnancy). Live attenuated vaccines like MMR pose theoretical risks of fetal infection and congenital anomalies.
Identify the urgent action if a pregnant client has heavy bleeding with abdominal pain.

Seek emergency care immediately (possible abruption/ectopic). Heavy bleeding with pain may indicate life-threatening conditions like placental abruption or ruptured ectopic pregnancy.

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