A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

Decreased procoagulant factors during pregnancy increases the risk for blood clots.

Increased natural anticoagulants during pregnancy increases the risk for blood clots.

Increased blood plasma volume during pregnancy increases the risk for blood clots.

Increased platelets during pregnancy increases the risk for blood clots.

Answer and Explanation

The Correct Answer is C

A. Procoagulant factors, not decreased procoagulant factors, increase during pregnancy, which contributes to a hypercoagulable state.

B. Natural anticoagulants, such as antithrombin, tend to decrease during pregnancy, which actually heightens the risk of clot formation rather than mitigating it.

C. Increased blood plasma volume and elevated levels of clotting factors during pregnancy contribute to a hypercoagulable state. This adaptation helps prevent excessive bleeding during childbirth but also increases the risk of thrombosis.

D. Platelet counts do not typically increase during pregnancy; in fact, they may slightly decrease due to hemodilution, though their function remains intact.

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Correct Answer is D

Explanation

A. A ketogenic diet is not recommended during pregnancy, as carbohydrates are essential for fetal growth and energy. Adequate, balanced nutrition is key during pregnancy.

B. While water intake is important, pregnant clients are advised to drink 8–10 glasses of water daily to support increased blood volume and amniotic fluid. Six glasses would be insufficient.

C. An additional 1,000 calories per day is excessive for early pregnancy. During the first trimester, the calorie increase is minimal (approximately 150–200 calories), with more significant increases later in pregnancy.

D. Taking a prenatal vitamin daily ensures adequate intake of essential nutrients like folic acid and iron, which are critical for preventing neural tube defects and supporting maternal health.

A. Gynecoid B. Platypelloid C. Android D. Anthropoid

Correct Answer is A

Explanation

A. The gynecoid pelvis is considered the most favorable for vaginal delivery due to its rounded shape, wide pelvic inlet, and spacious dimensions, which facilitate the passage of the fetal head.

B. The platypelloid pelvis is flat and wide, often posing challenges for vaginal delivery due to its narrow anteroposterior diameter.

C. The android pelvis has a heart-shaped inlet, making it less favorable for vaginal delivery as it can cause difficulty in fetal descent.

D. The anthropoid pelvis has an oval shape and is more favorable for vaginal delivery than android or platypelloid pelves, but it is still less optimal compared to the gynecoid pelvis.

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A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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