A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.
Which findings should the nurse anticipate? (Select all that apply.)

Chloasma.

Linea nigra.

Eczema.

Psoriasis.

Striae gravidarum.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale

Chloasma. Also known as melasma or the “mask of pregnancy,” chloasma is a common skin change during pregnancy. It appears as dark, irregular patches on the face19.

Choice B rationale

Linea nigra. This is a dark line that runs from the belly button to the pubic hair. It is another common skin change during pregnancy19.

Choice C rationale

Eczema. While some women may experience a worsening of eczema symptoms during pregnancy, it’s not a skin change that’s specifically associated with pregnancy19.

Choice D rationale

Psoriasis. Like eczema, psoriasis is not a skin change that’s specifically associated with pregnancy. Some women may see their psoriasis improve during pregnancy, while others may see it get worse19.

Choice E rationale

Striae gravidarum. Also known as stretch marks, these are another common skin change during pregnancy. They appear as pink, red, or purple streaks on the skin19.

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Correct Answer is D

Explanation

Choice A rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate A. Anticipate A might be expected for a different set of symptoms or conditions.

Choice B rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate B. Anticipate B might be expected for a different set of symptoms or conditions.

Choice C rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate C. Anticipate C might be expected for a different set of symptoms or conditions.

Choice D rationale

The client’s symptoms of recent painful sores on the perineum, muscle aches, and chills, along with current discomfort when sitting and mild vaginal itching, could suggest a herpes simplex virus infection or another type of infection. Anticipate D might be an antiviral medication or other treatment to address the suspected condition.

A. I will use only nonprescription medications while pregnant. B. I will tell my doctor before using home remedies for nausea. C. I will monitor my weight gain during the remaining months. D. I will reduce my stress level.

Correct Answer is A

Explanation

Choice A rationale

The statement “I will use only nonprescription medications while pregnant” indicates a need for further teaching. Not all nonprescription (over-the-counter) medications are safe to use during pregnancy. Some may have effects on the fetus and others may affect the course of the pregnancy.

Choice B rationale

It’s important for pregnant women to discuss any home remedies for nausea or other symptoms with their doctor, as some remedies may not be safe during pregnancy.

Choice C rationale

Monitoring weight gain during pregnancy is important as excessive or insufficient weight gain can lead to complications such as gestational diabetes, hypertension, or growth issues for the baby.

Choice D rationale

Reducing stress levels during pregnancy is beneficial for both the mother and the baby’s health. High levels of stress can lead to complications such as preterm labor and low birth weight.

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A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.Which findings should the nurse anticipate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.Which statement by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is caring for a patient scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation.Which explanations about this test should the nurse provide to the patient?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation.The client reports urinary frequency and asks if this will continue until delivery.Which of the following responses should the nurse make?

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A nurse is providing preconception counseling for a client who is planning a pregnancy.Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client.Which of the following statements by the newly licensed nurse requires intervention by the nurse?

A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy.Which statement should the nurse include in the teaching?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation.The client inquires about the cause of her heartburn.Which of the following responses should the nurse make?

A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.
Which findings should the nurse anticipate? (Select all that apply.)