Chapter 12 NCLEX Questions (Maternity-Newborn Nursing) exam with complete solutions.
A 25-year-old client at 18 weeks' gestation has returned to the clinic for her second prenatal visit. Her initial pulse was 60. The nurse can expect her pulse to be _______ bpm at term. 70-75. Rationale: The pulse can increase by 10-15 bpm at term A nurse is teaching a prenatal client about cardiovascular changes during pregnancy. The client asks the nurse why she becomes dizzy when getting out of a chair or out of bed. What rationale should the nurse provide as to the cause of this dizziness during pregnancy? a. Decreased absorption of hemoglobin in the blood. b. Increased production of fibrinogen and plasma. c. Decreased production of estrogen and progesterone. d. Increased blood volume in the lower extremities. Increased blood volume in the lower extremities. Rationale: Increased blood volume in the lower legs can make the pregnant woman prone to postural hypotension. Hormones, fibrinogen, plasma production, and hemoglobin are not related to orthostatic hypotension.
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