A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

Striae gravidarum

Chloasma

Linea nigra

Eczema

Psoriasis

Answer and Explanation

Correct Answer : A,B,C

Explanation:

A. Striae gravidarum: Also known as stretch marks, striae gravidarum are common during pregnancy due to the stretching and thinning of the skin as the uterus expands. They often appear as pink or purple streaks on the abdomen, breasts, hips, and thighs.

B. Chloasma: Chloasma, also called the "mask of pregnancy," refers to hyperpigmented areas on the face, typically appearing as brown patches on the cheeks, forehead, and upper lip. It is caused by hormonal changes during pregnancy and increased melanin production.

C. Linea nigra: Linea nigra is a dark line that develops vertically along the midline of the abdomen during pregnancy. It is caused by hormonal changes and increased pigmentation, and it typically fades after childbirth.

D. Eczema: Eczema, a skin condition characterized by red, itchy, and inflamed patches, may or may not be directly related to pregnancy. Some women may experience flare-ups of eczema during pregnancy due to hormonal changes or other factors, but it is not specific to the second trimester.

E. Psoriasis: Psoriasis, another skin condition characterized by red, scaly patches, may also flare up during pregnancy for some individuals. However, like eczema, it is not specific to the second trimester and can occur at any time.

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Correct Answer is A

Explanation

Explanation:

A. "This will occur between the fourth and fifth months of pregnancy."

This response is accurate and aligns with the typical timeframe for quickening, which is the first perception of fetal movements by the pregnant person. Quickening commonly occurs between the 16th and 20th week of pregnancy, corresponding to the fourth and fifth months. However, it's essential to note that the exact timing can vary from person to person and pregnancy to pregnancy.

B. "This will happen by the end of the first trimester of pregnancy."

This response is not entirely accurate. Quickening typically occurs later than the end of the first trimester. While some women, particularly those who have been pregnant before, may feel fetal movements toward the end of the first trimester, it's more common to experience quickening during the second trimester.

C. "This will happen once the uterus begins to rise out of the pelvis."

This response is not directly related to quickening. The rising of the uterus (fundus) out of the pelvic cavity is a physical change that occurs as the pregnancy progresses, but it doesn't signify the onset of fetal movements (quickening). Quickening is specifically about feeling the baby's movements, not the position of the uterus.

D. “This will occur during the last trimester of pregnancy."

This response is incorrect. Quickening typically occurs much earlier, specifically during the second trimester, around the 16th to 20th week of pregnancy. Waiting until the last trimester to feel fetal movements would be unusual and might prompt further evaluation or discussion with a healthcare provider.

A. 4-0-1-2-2 B. 4-2-0-2-2 C. 2-0-0-2-0 D. 3-0-2-0-2

Correct Answer is B

Explanation

Explanation:

G - Gravida: The number of pregnancies, including the current one.

T - Term births: The number of pregnancies carried to term, typically considered 37 weeks or more.

P - Preterm births: The number of pregnancies delivered between 20 and 37 weeks.

A - Abortions: The number of pregnancies terminated before 20 weeks, including elective abortions and miscarriages.

L - Living children: The number of living children.

Now let's analyze the client's history:

Elective abortion at 9 weeks (terminated pregnancy): This counts as an abortion (A).

Birth of twins at 36 weeks (term births): This counts as two term births (T).

Spontaneous abortion at 15 weeks (miscarriage): This also counts as an abortion (A).

Based on the information provided, the client's GTPAL status would be:

Gravida: 4 (1 terminated pregnancy + 1 twin birth + 1 miscarriage + 1 current pregnancy)

Term births: 2 (1 twin birth)

Preterm births: 0

Abortions: 2 (1 terminated pregnancy + 1 miscarriage)

Living children: 2 (1 twin birth)

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A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is B

Explanation

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