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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The recommended time for rubella immunization for a woman who does not have immunity and is in the first trimester of pregnancy is shortly after giving birth. This is because the rubella vaccine is a live vaccine and is not recommended during pregnancy due to the potential risk to the fetus.
Choice B rationale
The rubella vaccine should not be given immediately during pregnancy due to the potential risk to the fetus.
Choice C rationale
While it’s ideal for a woman to be immune to rubella before she gets pregnant, if she finds out during pregnancy that she’s not immune, the vaccine should be given after delivery.
Choice D rationale
The rubella vaccine is not recommended during the third trimester of pregnancy due to the potential risk to the fetus.
Correct Answer is A
Explanation
Choice A rationale
Hypertension is the most common risk factor for placental abruption. Placental abruption occurs when the placenta partly or completely separates from the inner wall of the uterus before delivery. This can decrease or block the baby’s supply of oxygen and nutrients and cause heavy bleeding in the mother. Chronic high blood pressure (hypertension) is a known risk factor for placental abruption.
Choice B rationale
While blunt force trauma can be a cause of placental abruption, it is not the most common risk factor. Trauma or injury to the abdomen can cause placental abruption, but hypertension is a more common risk factor.
Choice C rationale
Cigarette smoking is a known risk factor for placental abruption, but it is not the most common risk factor. Smoking during pregnancy can increase the risk of placental abruption, but hypertension is a more common risk factor.
Choice D rationale
Cocaine use is a known risk factor for placental abruption, but it is not the most common risk factor. Use of cocaine during pregnancy can increase the risk of placental abruption, but hypertension is a more common risk factor.
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