Nursing 317: Maternal Adaptation During Pregnancy (Nclex Questions And Review) 1 Exam | Complete Questions With Correct Answers And Detailed Rationales - Latest Update

NURSING 317: MATERNAL
ADAPTATION DURING PREGNANCY
(NCLEX QUESTIONS AND REVIEW) 1
EXAM | COMPLETE QUESTIONS WITH
CORRECT ANSWERS AND DETAILED
RATIONALES - LATEST UPDATE
The nurse is assessing a pregnant client at her 20-
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week visit. Which breast assessment should the nurse anticipate documenting?
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-Slack, soft breast tissue vz vz vz vz


-Deeply fissured nipples vz vz vz


-Enlarged lymph nodes vz vz vz


-Darkened breast areolae - ANSWERS--Darkened breast areolae
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A pregnant woman tells the nurse she often has allergic responses to drugs. She is
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concerned that she will be allergic to her fetus or her body will reject the pregnanc
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y. The nurse's reply would be based on which statement?
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-Immunologic activity is decreased during pregnancy. vz vz vz vz vz vz


-The level of aldosterone during pregnancy reduces production of IgG antibodies.
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-
The decreased corticosteroid activity during pregnancy ensures this will not happen
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The kidneys release a hormone during pregnancy to prevent this from happening. -
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vzANSWERS--Immunologic activity is decreased during pregnancy. vz vz vz vz vz


It is unproven why women do not reject fetal (foreign) tissue, but a substance secre
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ted by the placenta is thought to decrease the usual immunologic response and pre
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vent this from happening.
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A new mother asks the postpartum nurse if her baby is getting enough nourishment
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from breast-
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feeding within the first 24 hours following birth. The nurse would provide her what i
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nformation?

-The mother needs to supplement breast-
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feedings with formula until her milk comes in. -
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Breast milk comes in within 12 hours after delivery and nourishment should not be
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a problem.
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Most infants need minimal nourishment for the first 24 hours, so the mother should
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not be concerned.
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, -
Colostrum, which is the first milk produced, is rich in calories and protein that nouri
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shes the infant well. - ANSWERS--
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Colostrum, which is the first milk produced, is rich in calories and protein that nouri
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shes the infant well.vz vz vz


Colostrum is present prior to delivery and provides the infant with adequate nutritio
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n for the first 3 days of life, at which time the mother's actual milk should come in.
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Formula is not recommended. Infants need nutrition shortly after birth to keep their
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blood glucose normal. vz vz




Amanda's menstrual period is two weeks late. She has been feeling tired and has h
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ad bouts of nausea in the morning. What classification of pregnancy symptoms is A
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manda experiencing? vz




-Positive vz


-Presumptive vz


-Probable vz


-No classification - ANSWERS--Presumptive
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The most common presumptive sign of pregnancy is a missed menstrual period, or
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amenorrhea. Other presumptive signs include nausea, fatigue, swollen, tender brea
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sts, and frequent urination.
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A woman in a prenatal clinic tells the nurse that her pregnancy was unplanned and
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zunwanted. At what point in pregnancy does the average woman change her mind
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about an unwanted pregnancy?
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-Around the third month vz vz vz vz


-When quickening occurs vz vz vz


-After lightening happens vz vz vz


-After the seventh month - ANSWERS--When quickening occurs
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Quickening, or feeling the baby move inside the body, is such a dramatic event that
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it can cause a woman's perceptions about the pregnancy to change.
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What is Quickening? - ANSWERS--Fetal movements felt by the mother
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Before becoming pregnant, a woman's heart rate averaged 72 beats per minute. Th
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e woman is now 15 weeks pregnant. The nurse would expect this woman's heart ra
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te to be approximately
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-85 beats per minute.
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-90 beats per minute.
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-95 beats per minute.
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-100 beats per minute. - ANSWERS--85 beats per minute
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During pregnancy, heart rate increases by 10 to 15 beats per minute between 14 a
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nd 20 weeks of gestation, and this elevation persists to term. Therefore, a prepregn
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ancy heart rate of 72 would increase by 10 to 15 beats per minute to a rate of 82 t
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o 87 beats per minute.
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Which assessment finding in the pregnant woman at 12 weeks' gestation should th
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e nurse find most concerning? The inability to
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-Detect fetal heart sounds with a Doppler.
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-Feel fetal movements.vz vz vz