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A client who is at 8 weeks of gestation tells the nurse that she isn't sure she is happy about being pregnant. Which of the following is an appropriate response by the nurse to the client's statement? A. "I will inform the provider that you are having these feelings." B. "It is normal to have these feelings during the first few months of pregnancy." C. "You should be happy that you are going to bring new life into the world." D. "I am going to make an appointment with the counselor for you to discuss these thoughts. 8a B. CORRECT: Feelings of ambivalence about pregnancy are normal during the first trimester. 8b During ambulation to the bathroom, a postpartum client experiences a gush of dark red blood that soon stops. On assessment, a nurse finds the client's uterus to be firm and midline and at the level of the umbilicus. The nurse interprets this finding as A. evidence of a possible vaginal hematoma. B. an indication of a cervical or perineal laceration. C. a normal postural discharge of lochia. D. abnormally excessive lochia rubra flow 9a C. CORRECT: Lochia typically trickles from the vaginal opening but flows more steadily during uterine contractions. Massaging the uterus or ambulation may result in a gush of lochia with the expression of clots and dark blood that has been pooled in the vagina, but it should soon decrease back to a trickle of bright red lochia in the early puerperium 9b A home-health nurse is conducting a visit to the home of a client who has a 2-month-old infant and a 4-year-old son. The client expresses frustration about the behavior of the 4-year-old who was previously toilet trained and is now frequently wetting himself. The nurse should provide education and explains to the client that A. her son was probably not ready for toilet training and should wear training pants. B. her son is showing an adverse sibling response. C. this indicates the child requires counseling. D. this can be resolved by sending the child to preschool. 10a B. CORRECT: Adverse responses by a sibling to a new infant can include regression in toileting habits 10b A newborn was not dried completely after delivery. The nurse should understand that which of the following mechanisms causes the newborn to lose heat? A. Conduction B. Convection C. Evaporation D. Radiation 11a C. CORRECT: Evaporation is the loss of heat that occurs when a liquid is converted to a vapor. In a newborn, heat loss by evaporation occurs as a result of vaporization of the moisture from the skin. 11b A nurse at an antepartum clinic is caring for a client who is at 4 months of gestation. The client reports continued nausea and vomiting and scant, prune-colored discharge. She has experienced no weight loss and has a fundal height larger than expected. Which of the following complications should the nurse suspect? A. Hyperemesis gravidarum B. Threatened abortion C. Hydatidiform mole D. Preterm labor 12a C. CORRECT: A client who has a hydatidiform mole exhibits increased fundal height that is inconsistent with the week of gestation, and excessive nausea and vomiting due to elevated hCG levels. Scant, dark discharge occurs in the second trimester