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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.

Answer and Explanation

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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Correct Answer is D

Explanation

A) Incorrect- Having a high-fat snack before bed might exacerbate nausea. It's generally recommended to have a light snack if needed.
B) Incorrect- Eating small, frequent snacks between meals can help manage nausea by preventing an empty stomach.
C) Incorrect- Drinking water with meals might not necessarily help with nausea and might worsen the feeling of fullness.
D) Correct - "Eat a slice of dry toast before getting out of bed" can help alleviate morning sickness in the first trimester. Eating a small, bland snack before rising can prevent an empty stomach, which can contribute to nausea.

A. Tell the client to apply hydrocortisone ointment to the affected area of the breast. B. Recommend the client avoid wearing a nursing bra until symptoms resolve. C. Suggest the client apply warm compresses to the affected breast. D. Encourage the client to limit oral fluid intake to decrease milk production.

Correct Answer is C

Explanation

A) Incorrect- Hydrocortisone ointment is not typically recommended for treating mastitis, as it might not address the underlying infection.
B) Incorrect- Wearing a well-fitting, supportive nursing bra can actually help alleviate discomfort and is not typically contraindicated in cases of mastitis.
C) Correct - Applying warm compresses to the affected breast can help reduce pain and discomfort associated with mastitis. Warmth can improve blood flow and promote milk flow.
D) Incorrect- Encouraging the client to limit oral fluid intake to decrease milk production is not a recommended approach, as maintaining proper hydration is important, especially when dealing with infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client about how to minimize nausea in the first trimester of pregnancy. Which of the following instructions should the nurse give to the client?

Correct Answer is D

Explanation

A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following Instructions should the nurse include?

Correct Answer is C

Explanation

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