Chapter 11: Maternal Adaptation During Pregnancy (1) Advanced test Save

A client is about 16 weeks' pregnant and is concerned because she feels her "abdomen" contracting. She calls the primary care provider's office and speaks to the nurse. What is the nurse's most appropriate response to this client's concern? pg. 336 - ANSWERS"What you are feeling are called Braxton Hicks contractions. They are considered practice contractions during pregnancy." What is the major concern for a lactose intolerant woman who is pregnant? pg. 353 - ANSWERScalcium deficiency During an examination, a client at 32 weeks' gestation becomes dizzy, lightheaded, and pale while supine. What should the nurse do first? pg. 336 - ANSWERSTurn the client on her left side. A pregnant client reports an increase in a thick, whitish vaginal discharge. Which response by the nurse would be most appropriate? pg. 337 - ANSWERS"This discharge is normal during pregnancy." A client in her 39th week of gestation arrives at the maternity clinic stating that earlier in her pregnancy, she experienced shortness of breath. However, for the past few days, she has been able to breathe easily, but she has also begun to experience increased urinary frequency. A nurse is assigned to perform the physical examination of the client. Which observation is most likely? pg. 336 - ANSWERSFundal height has dropped since the last recording. A client in her second trimester of pregnancy is anxious about the blotchy, brown pigmentation appearing on her forehead and cheeks. She also reports increased pigmentation on her breasts and genitalia. Which statement by the nurse is most appropriate? pg. 341 - ANSWERS"This is called facial melasma (chloasma) and should fade after the birth." A mother comes in with her 17-year-old daughter to find out why she has not had a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24 cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks pregnant? pg. 335 - ANSWERS24 During a routine prenatal visit, a pregnant woman reports a white, thick, vaginal discharge. She denies any itching or irritation. Which action would the nurse take next? pg. 337 - ANSWERSTell the woman that this is entirely normal. The nurse is teaching a pregnant woman about breastfeeding. The nurse determines that the teaching was successful when the woman identifies which hormone as being released when the newborn sucks at the breast? pg. 344 - ANSWERSoxytocin A pregnant client in her third trimester, lying supine on the examination table, suddenly grows very short of breath and dizzy. Concerned, she asks the nurse what is happening. Which response should the nurse prioritize? pg. 336 - ANSWERSBlood is trapped in the vena cava in a supine position. The nurse is preparing to teach a community class to a group of first-time parents. Which information should the nurse include concerning what the pregnant woman's partner may experience as a normal response? pg. 356-357 - ANSWERSphysical symptoms similar to the mother The nurse is assessing a client who believes she is pregnant. The nurse points out a more definitive assessment is necessary due to which sign being considered a probable sign of pregnancy? pg. 334 - ANSWERSPositive home pregnancy test A pregnant client at 24 weeks' gestation calls the clinic crying after a prenatal visit, where she had a pelvic exam. She states that she noticed blood on the tissue when she wiped after voiding. What initial statement by the nurse would explain this finding? pg. 337 - ANSWERSThe cervix is very vascular during pregnancy, so spotting after a pelvic exam is not unusual. A new mother voices concerns about breastfeeding her infant. The nurse would explain to the mother the two hormones that control lactation and letdown are: pg. 347 - ANSWERSprolactin and oxytocin. A pregnant mother may experience constipation and the increased pressure in the veins below the uterus can lead to development of what problem? pg. 338 - ANSWERSHemorrhoids A nurse is leading a discussion in a prenatal class for a group of primigravida clients. Which factor would the nurse include when explaining the changes that are expected to occur in the uterus during the pregnancy? pg. 335 - ANSWERSThe uterus changes from a pear-shaped organ to an oval one. The nurse is assessing a primigravida woman at a routine prenatal visit. Which assessment finding is reinforcing to the client that she is definitely pregnant? pg. 335 - ANSWERSultrasound picture of her fetus During late pregnancy, the nurse teaches a pregnant woman to lay on her left side to avoid what condition? pg. 336 - ANSWERSSupine hypotension syndrome A pregnant woman who is a vegetarian asks the nurse, "What would you suggest to make sure that I get enough protein in my diet while I am pregnant?" Which food(s) would be appropriate for the nurse to suggest? Select all that apply. pg. 353-354 - ANSWERS- beans - lentils - nuts The nurse is caring for a client at 8 weeks' gestation who states, "I did not plan for this right now and I am not happy or excited about this pregnancy. I am not sure what to do." Which response by the nurse is best? pg. 355 - ANSWERS"Many women feel this way during the first trimester."