A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?

Increased abdominal muscle tone

Decreased mobility of pelvic joints

An increase in lordosis

Posterior neck ﬂexion

Answer and Explanation

The Correct Answer is C

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Correct Answer is D

Explanation

The GTPAL system is a way of describing a woman's obstetric history using five digits: G (gravida), T (term births), P (preterm births), A (abortions), and L (living children). The client's present parity can be calculated as follows:

G: The client is gravida 4, as she has been pregnant four times, including the current one.
T: The client has had one term birth, as she delivered twins at 36 weeks, which is considered term for a multiple gestation.
P: The client has had no preterm births, as she has not delivered any babies before 37 weeks of gestation. A: The client has had two abortions, one elective and one spontaneous, both before 20 weeks of gestation. L: The client has two living children, the twins she delivered at term.

Therefore, the client's present parity is 2-0-1-2-2.

The other options are incorrect and do not reﬂect the client's obstetric history.

A. Pelvic pain B. Severe nausea and vomiting C. Copious vaginal bleeding D. Uterine enlargement greater than expected for gestational age

Correct Answer is A

Explanation

The nurse should expect the client to have pelvic pain, as this is the most common symptom of an ectopic pregnancy, which occurs when the fertilized ovum implants outside the uterine cavity, usually in the fallopian tube. Pelvic pain can range from mild to severe, and can be unilateral or bilateral, depending on the location and extent of the ectopic pregnancy. Pelvic pain can be caused by tubal distension, rupture, or bleeding.

The other findings are not typical of an ectopic pregnancy and may indicate other conditions.

Severe nausea and vomiting are not common signs of an ectopic pregnancy, but they may occur in any pregnancy due to hormonal changes or other factors. Severe nausea and vomiting may also indicate hyperemesis gravidarum, which is a condition where nausea and vomiting are so severe that they cause dehydration, electrolyte imbalance, and weight loss.
Copious vaginal bleeding is not a usual sign of an ectopic pregnancy, but it may occur if the ectopic pregnancy ruptures and causes hemorrhage. However, copious vaginal bleeding may also indicate other complications such as placenta previa, placental abruption, or spontaneous abortion.
Uterine enlargement greater than expected for gestational age is not a sign of an ectopic pregnancy, but it may indicate a multiple gestation, hydatidiform mole, polyhydramnios, or a large fetus. An ectopic pregnancy usually causes uterine enlargement less than expected for gestational age, as the uterus does not contain a viable pregnancy.

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A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?

A nurse is caring for a client 4 hours postpartum following a vaginal birth. The client has saturated a perineal pad within 10 minutes. Which of the following is the nurse's first action?

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

A nurse in the prenatal clinic is reinforcing teaching to a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement by the client indicates a need for further teaching?

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?