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During vital sign assessment of a pregnant patient in her third trimester, the
patient complains of feeling faint, dizzy, and agitated. Which nursing
intervention is most appropriate?
A: have the patient stand up and retake her blood pressure
B: have the patient sit down and hold her arm in a dependent position
C: have the patient turn to her left side and recheck her blood pressure in 5
minutes
D: have the patient lie supine for 5 minutes and recheck her blood pressure
on both
arms - ✔✔C: have the patient turn to her left side and recheck her blood
pressure in 5 minutes
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, Blood pressure is affected by positioning during pregnancy. The supine
position may cause occlusion of the vena cava and descending aorta.
Turning the pregnant woman to a lateral recumbent position alleviates
pressure on the blood vessels and quickly corrects supine hypotension.
Pressures are significantly higher when the patient is standing. This would
cause an increase in systolic and diastolic pressures. The arm should be
supported at the same level of the heart. The supine position may cause
occlusion of the vena cava and descending aorta, creating hypotension.
While providing education to a primiparous patient regarding the normal
changes of pregnancy, what is an important information for the nurse to
share regarding Braxton Hicks contractions?
A: these contractions may indicate preterm labor
B: these are contractions that never cause any discomfort
C: Braxton hicks contractions only start during the third trimester
D: these occur throughout pregnancy, but you may not feel them until the
3rd trimester - ✔✔D: these occur throughout pregnancy, but you may not
feel them until the 3rd trimester
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