A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
"I should expect to have burning when I urinate during the third trimester."
"I may have an infection if I develop a dark line in the middle of my abdomen."
"I should expect my fingers and face to be swollen."
"I may develop discoloration on my cheeks from hormonal changes.
The Correct Answer is D
The correct answer is d. "I may develop discoloration on my cheeks from hormonal changes."
Choice a rationale:
- Statement: "I should expect to have burning when I urinate during the third trimester."
- Rationale: This statement is incorrect. Burning during urination is not a normal physiological change of pregnancy. It may be a sign of a urinary tract infection (UTI), which is a common infection during pregnancy. If a pregnant client experiences burning during urination, she should report it to her healthcare provider for evaluation and treatment.
Choice b rationale:
- Statement: "I may have an infection if I develop a dark line in the middle of my abdomen."
- Rationale: This statement is incorrect. A dark line in the middle of the abdomen, known as the linea nigra, is a normal physiological change of pregnancy. It is caused by hormonal changes that increase melanin production in the skin. The linea nigra typically appears in the second trimester and fades after delivery.
Choice c rationale:
- Statement: "I should expect my fingers and face to be swollen."
- Rationale: This statement is partially correct. Some swelling in the hands and face is common during pregnancy, especially in the third trimester. This is due to fluid retention caused by hormonal changes. However, excessive swelling, particularly in the hands and face, can be a sign of preeclampsia, a serious pregnancy complication. It's important to report any significant swelling to a healthcare provider.
Choice d rationale:
- Statement: "I may develop discoloration on my cheeks from hormonal changes."
- Rationale: This statement is correct. Hormonal changes during pregnancy can cause a variety of skin changes, including melasma, which is a brownish discoloration that often appears on the cheeks, forehead, and nose. Melasma is more common in women with darker skin tones and usually fades after delivery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect- Elevated blood pressure is not a primary risk associated with hyperemesis gravidarum.
B) Incorrect- Leukopenia (low white blood cell count) is not a common consequence of hyperemesis gravidarum.
C) Correct - Hyperemesis gravidarum, severe nausea, and vomiting during pregnancy can lead to dehydration, which may affect amniotic fluid levels and result in hydramnios (excessive amniotic fluid).
D) Incorrect- Ketonuria (presence of ketones in the urine) is a possible consequence of excessive vomiting, but it's not the primary concern associated with hyperemesis gravidarum.
Correct Answer is A
Explanation
A) Correct - Monitoring for infection is an appropriate nursing intervention for a client whose membranes have ruptured, as there is an increased risk of infection after the amniotic sac has ruptured for an extended period.
B) Incorrect- Positioning the client supine is not generally recommended for a client in labor, especially if the client's membranes have ruptured.
C) Incorrect- Obtaining consent for a cesarean birth is not indicated solely based on the information provided.
D) Incorrect- Preparing for a forceps delivery is not indicated solely based on the information provided.
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