A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Lightening

Decreasing chest diameter

Decreased carbon dioxide production

Hyperventilation

Answer and Explanation

The Correct Answer is A

A. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.

B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.

C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.

D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.

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Correct Answer is D

Explanation

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

A. 16 cm B. 26 cm C. 30 cm D. 12 cm

Correct Answer is B

Explanation

A. 16 cm – Incorrect; this is too low for 24 weeks (expected range: ±2 cm of gestational age).
B. 26 cm – Correct; fundal height at 24 weeks is expected to be around 22-26 cm.
C. 30 cm – Incorrect; this is above the expected range and may indicate polyhydramnios or macrosomia.
D. 12 cm – Incorrect; this is too low and could indicate intrauterine growth restriction (IUGR).

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A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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