A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy.
Which of the following statements should the nurse make?

Be careful about exercises that include stretching.

It's a good idea to increase your weight-bearing exercises.

Moderate exercise can help improve your circulation.

You should rest for 5 minutes following exercise.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While stretching is generally safe during pregnancy, it's essential to do it gently and avoid overstretching. Overstretching can potentially lead to injuries or joint problems, as ligaments are naturally more relaxed during pregnancy due to hormonal changes. Therefore, advising caution with stretching exercises is not the most encouraging or informative response to address the client's concerns about exercise.

Choice B rationale:

Increasing weight-bearing exercises is not specifically recommended during pregnancy. While some weight-bearing exercises can be beneficial, such as walking or low-impact aerobics, it's crucial to prioritize low-impact activities that don't put excessive strain on the joints and ligaments. Excessive weight-bearing exercises can potentially lead to discomfort, fatigue, or even injury.

Choice C rationale:

This is the most appropriate response because it accurately highlights the benefits of moderate exercise during pregnancy. Regular physical activity can significantly improve circulation, which is essential for both the mother and the developing fetus. Improved circulation enhances oxygen and nutrient delivery to the fetus, promotes waste removal, and can help reduce swelling and discomfort in the mother's legs and feet.

Choice D rationale:

While resting for a few minutes after exercise is generally a good practice, it's not the most significant aspect to emphasize when addressing the client's concerns. Emphasizing the benefits of exercise itself is more likely to encourage the client to engage in physical activity.

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Correct Answer is ["B","C","E"]

Explanation

Choice A:
Rh incompatibility is not directly identified through amniocentesis. Instead, it's typically assessed through blood tests that determine a woman's Rh factor and screen for Rh antibodies.
However, amniocentesis can provide information that might be relevant to Rh incompatibility, such as the fetal Rh type. If the mother is Rh-negative and the fetus is Rh-positive, there's a risk of Rh incompatibility.

Choice B:
Amniocentesis can detect neural tube defects (NTDs) like spina bifida and anencephaly.
It does this by measuring the levels of alpha-fetoprotein (AFP) in the amniotic fluid. AFP is a protein produced by the fetal liver, and elevated levels in the amniotic fluid can indicate an NTD.

Choice C:
Amniocentesis can accurately determine the fetal gender by examining the sex chromosomes present in the cells of the amniotic fluid.

Choice D:
Cephalopelvic disproportion (CPD) is a condition where the baby's head is too large to fit through the mother's pelvis. It's not diagnosed through amniocentesis.
CPD is usually suspected based on clinical findings like a slow progression of labor or a high fetal station, and it might be confirmed with imaging techniques like X-ray or ultrasound.

Choice E:
Amniocentesis is a valuable tool for diagnosing chromosomal defects, such as Down syndrome, Trisomy 18, and Trisomy 13. It does this by analyzing the chromosomes of the fetal cells present in the amniotic fluid.

A. Mood swings. B. Facial edema. C. Urinary frequency. D. Decreased energy. E. Decreased energy.

Correct Answer is B

Explanation

Choice A:

Mood swings are a common and expected symptom of early pregnancy due to hormonal changes. They typically do not require medical attention unless they become severe or interfere with daily life.
While it's important to discuss mood swings with a healthcare provider, they are not considered a critical symptom that necessitates immediate action.

Choice C:
Urinary frequency, or the need to urinate more often, is also a common symptom of early pregnancy. It's caused by hormonal changes and the growing uterus putting pressure on the bladder.
While it can be inconvenient, it's typically not a cause for concern unless accompanied by other symptoms, such as pain or burning during urination.

Choice D:
Decreased energy, or fatigue, is another common and expected symptom of early pregnancy.
It's often caused by hormonal changes and the body's increased workload to support the growing fetus.
While it can be frustrating, it's typically not a cause for concern unless it becomes severe or interferes with daily life.

Choice B:
Facial edema, or swelling of the face, is not a common symptom of early pregnancy.
It can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine.
Preeclampsia can develop suddenly and progress quickly, so it's important to seek medical attention right away if facial edema occurs.
Key Points:
Facial edema is a potential sign of preeclampsia, a serious pregnancy complication.
Mood swings, urinary frequency, and decreased energy are common and expected symptoms of early pregnancy that typically do not require immediate medical attention.
It's important for pregnant women to be aware of potential warning signs and to seek medical advice promptly if they experience any concerning symptoms.

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A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?

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A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy.
Which of the following statements should the nurse make?