A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Liver function tests

Edema

Fetal heart rate and variability

Headache

Epigastric discomfort

Urine dipstick

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function.
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement.
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status.
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement.
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement.
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.

Nursing Test Bank

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Correct Answer is B

Explanation

Rationale:

A. Using a pacifier during naps and bedtime is recommended as it has been associated with a decreased risk of SIDS.

B. Bed-sharing, especially with a breastfeeding mother, is a risk factor for SIDS. The American Academy of Pediatrics recommends room-sharing without bed-sharing.

C. Placing the baby on her back for sleep is a safe sleep practice and helps reduce the risk of SIDS.

D. Removing blankets and toys from the crib reduces the risk of suffocation and is a recommended safe sleep practice.

A. "There is no way to predict how long it will last in each individual client." B. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladder tone." C. "It occurs during the first trimester and near the end of the pregnancy." D. "It's a minor inconvenience, which you should ignore."

Correct Answer is A

Explanation

Rationale:

A. This response acknowledges the client's concern and provides accurate information about the unpredictability of urinary frequency during pregnancy.

B. While some clients may experience relief from urinary frequency after the first trimester, it is not guaranteed, and poor bladder tone is just one of many factors that can contribute to urinary frequency during pregnancy.

C. This statement is inaccurate as urinary frequency can occur throughout pregnancy due to hormonal changes and pressure from the growing uterus.

D. Dismissing the client's concern as a minor inconvenience is not appropriate and does not address the client's question.

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A nurse is caring for a client who is at 36 weeks of gestation. Exhibits For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.

Nursing Test Bank

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Explanation

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A nurse is caring for a client who is at 36 weeks of gestation.

Exhibits

For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.