[单项选择]A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid
A. Egg yolks.
B. Fruit.
C. Bread.
D. Milk.

[单项选择]A pregnant client with premature rupture of the membranes has had contractions every 10 minutes. After 48 hours, the contractions stop and the client is to be discharged with home monitoring. The nurse discusses with the client about preterm labor symptoms. Which of the following statements made by the client indicates that she needs further instruction
A. "I should report contractions that occur every 10 minutes in 1 hour. "
B. "I should lie in bed on my left side if contractions begin. "
C. "I should call the doctor if my contractions occur every hour for 6 hours. "
D. "If I start having contractions, I should empty my bladder. "

[单项选择]The nurse is providing care for a pregnant client with gestational diabetes. The client asks the nurse if her gestational diabetes will affect her delivery. The nurse should know that
A. the delivery may need to be induced early.
B. the delivery must be by cesarean.
C. the mother will carry to term safely.
D. it’s too early to tell.

[单项选择]After determining that a pregnant client is Rh-negative, the physician orders an indirect Coombs’test. What’s the purpose of performing this test on a pregnant client
A. To determine the fetal blood Rh factor.
B. To determine the maternal blood Rh factor.
C. To detect maternal antibodies against fetal Rh-positive factor.
D. To detect maternal antibodies against fetal Rh-negative factor.

[单项选择]A pregnant client is admitted to the hospital at 34 weeks gestation and is receiving intravenous tocolytic therapy for preterm labor. The physician orders betamethasone (Celestone) intramuscularly for her. After administering the drug, the nurse would assess the client for which of the following as a possible side effect
A. Decreased skin turgor.
B. Infection.
C. Urinary frequency.
D. Hypoglycemi

[单项选择]A pregnant client who is diabetic is at risk for having a large-for-gestational-age infant because of which of the following
A. Excess sugar causing reduced placental functioning.
B. Insulin acting as a growth hormone on the fetus.
C. Maternal dietary intake of high calories.
D. Excess insulin reducing placental functionin

[单项选择]A 19-year-old pregnant client tells the nurse she’s concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn’t provide insurance. The nurse should recognize which of the following
A. The client may not take care of herself.
B. The client may not be fit to take care of a child.
C. The client needs to take up a second job.
D. The client should be referred to community resources available for pregnant women.

[单项选择]A client with type 1 diabetes mellitus is pregnant for the second time. Her previous pregnancy ended in spontaneous abortion at 18 weeks’ gestation. She’s now at 22 weeks’ gestation. The nurse is responsible for teaching the client about exercise during her pregnancy. Which of the following statements indicates that the client has an appropriate understanding of her exercise needs
A. "I know I need to walk with a friend or family member. "
B. "I know I need to vary the times of day when I exercise. "
C. "I know I need to exercise before meals. "
D. "I know I need to drink fluids while I walk. "

[单项选择]
Medical experts say most Americans do not get (51) sleep. They say more Americans need to rest for a short period in the middle of the day. They are advising people to sleep lightly before (52) with other activities.
One study earlier this year found that persons who sleep for a few minutes during the day were less (53) to die of disease. The study followed more than 2,300 Greek adults (54) about six years. Adult who rested for half an hour (55) three times a week had a 37 percent lower risk of dying from heart disease than those who did not nap.
Study organizers said the strongest evidence was in working men. They said naps might improve (56) by mitigating tension caused by work.
Some European and Latin American businesses have supported the (57) of napping for many years. They urge people to (58) work, go home and have a nap before return
A. sweet
B. sound
C. bad
D. enough

[单项选择]A client is 22 weeks pregnant with her first child. Her weight gain is normal, but she complains of constipation. What’s the most effective recommendation the nurse can make
A. "Take a mild laxative daily. "
B. "Increase intake of fluids and high-fiber foods. "
C. "Relax when trying to move the bowels. "
D. "Start a strenuous exercise program. "