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 C

Explanation

Choice A rationale

While it might seem helpful to offer to tell the parents for the client, it’s important to respect the client’s autonomy and confidentiality. The nurse should support the client in making their own decisions about disclosure.

Choice B rationale

It’s not necessarily true that the parents will have to be told why the client is being admitted. Confidentiality is a key aspect of healthcare, especially when it comes to sensitive issues like sexually transmitted infections.

Choice C rationale

This response is empathetic and non-judgmental. It acknowledges the client’s feelings and opens up a conversation without forcing any action. This allows the client to feel heard and supported, which is crucial in a healthcare setting.

Choice D rationale

While this response might be well-intentioned, it assumes that the parents will understand and doesn’t acknowledge the client’s fear or concern. It’s important for the nurse to validate the client’s feelings and provide support.

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

Correct Answer is C

Explanation

GTPAL calculation:

Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.

Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).

Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.

Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.

Step 5 is: Determine Living (L) children = 2 (twins) = L2.

The GTPAL status is: G4 T0 P1 A2 L2.

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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 C

Explanation

Correct Answer is C

Explanation

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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.)