A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation.
The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Yes, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone.

Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won’t be so bothersome.

There is no way to predict how long it will last for each individual client, so you’ll just have to wait and see.

No, it should only last until about your 12th week but it will return near the end of the pregnancy

Answer and Explanation

The Correct Answer is D

Choice A:
It is inaccurate to state that urinary frequency will continue throughout pregnancy in most cases. While it is a common symptom, it typically resolves by the end of the first trimester.
Suggesting that poor bladder tone is the cause of ongoing urinary frequency is not supported by evidence. This response may unnecessarily alarm a client who is already experiencing discomfort.

Choice B:
It is not recommended to advise a pregnant woman to decrease her fluid intake, especially during the first trimester when adequate hydration is crucial.
Restricting fluids can lead to dehydration, which can have negative consequences for both the mother and the fetus. While reducing fluid intake before bedtime might lessen nighttime urination, it does not address the underlying cause of urinary frequency.

Choice C:
While it is true that the duration of urinary frequency can vary among individuals, providing such an uncertain response may not be helpful to the client.
It is important to offer information that is both accurate and reassuring.

Choice D:
This response accurately conveys that urinary frequency is a common early pregnancy symptom that typically resolves by the end of the first trimester.
It also acknowledges that the symptom may return later in pregnancy, which helps to prepare the client for potential discomfort.
This response provides accurate information in a reassuring manner, making it the most appropriate choice.

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Correct Answer is A

Explanation

Choice A:

Fetal heart tone location: In a frank breech presentation, the fetal buttocks are positioned downward and the legs are extended straight up toward the head, placing the fetal heart closer to the mother's upper abdomen. This results in fetal heart tones being heard above the umbilicus at midline.

Gestation period: At 9 weeks of gestation, the fetus is still small and has ample room to move within the uterus, making breech presentations more common. However, it's important to note that the ideal position for childbirth is cephalic, with the head down.

Correct Answer is B

Explanation

The correct answer is choice b. Quickening occurs between the fourth and fifth months of pregnancy.

Choice A rationale:

Quickening does not start soon after implantation. Implantation occurs around 6-10 days after fertilization, but quickening, which is the first feeling of fetal movements, typically happens much later in pregnancy.

Choice B rationale:

This is the correct answer. Quickening usually occurs between 16 to 20 weeks of pregnancy, which corresponds to the fourth and fifth months.

Choice C rationale:

Quickening does not start during the last trimester. By the last trimester, fetal movements are usually strong and frequent, and the mother has been feeling them for several months.

Choice D rationale:

Quickening does not occur between the second and third month of pregnancy. At this stage, the fetus is still too small for its movements to be felt by the mother.

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A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is in active labor at 9 weeks of gestation. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?

Correct Answer is A

Explanation

A nurse should include which of the following information?

Correct Answer is B

Explanation

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A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation.
The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?