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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 B

Explanation

A) Incorrect- Kegel exercises are helpful for strengthening pelvic floor muscles but may not directly alleviate afterpains.
B) Correct - Afterpains are uterine contractions that occur after childbirth and can be uncomfortable, especially during breastfeeding. Ibuprofen is often used to relieve this discomfort.
C) Incorrect- Applying a cool compress might provide some relief, but pain relief medications like ibuprofen are more effective for afterpains.
D) Incorrect- While a side-lying position can be comfortable for breastfeeding, it may not directly address the afterpains.

A. Moderate lochia serosa on perineal pads B. Frequent urges to urinate C. Uterine fundus 2 finger widths above the umbilicus D. colostrum expressed from the breast

Correct Answer is A

Explanation

A) Correct - Lochia serosa, a pinkish-brown vaginal discharge, is typically present 24 hours after vaginal delivery. It is the second stage of lochia that follows the bright red lochia rubra.
B) Incorrect- Frequent urges to urinate might be present but are not specific to the 24- hour postpartum period.
C) Incorrect- The uterine fundus should be descending in the days after childbirth, not located 2 finger widths above the umbilicus.
D) Incorrect- Colostrum is the early milk produced by the breasts, but its presence is not a specific finding in the immediate postpartum period.

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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 caring for a client who reports discomfort due to afterpains following breastfeeding. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?

Correct Answer is A

Explanation

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