A nurse is evaluating a patient in her third trimester of pregnancy.
Which findings should the nurse recognize as expected physiological changes during pregnancy?
Gradual lordosis.
Decreased mobility of pelvic joints.
Increased abdominal muscle tone.
Posterior neck flexion.
The Correct Answer is A
Choice A rationale
Gradual lordosis, or the inward curvature of the spine, is a common physiological change during pregnancy. As the baby grows and the woman’s center of gravity shifts, the spine adjusts to maintain balance.
Choice B rationale
Decreased mobility of pelvic joints is not a typical physiological change during pregnancy. In fact, the body releases the hormone relaxin during pregnancy, which allows the ligaments in the pelvic area to relax and the joints to become looser in preparation for the birth process.
Choice C rationale
Increased abdominal muscle tone is not a typical physiological change during pregnancy. In fact, as the baby grows, the abdominal muscles stretch and can even separate, a condition known as diastasis recti.
Choice D rationale
Posterior neck flexion is not a typical physiological change during pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While it might seem helpful to offer to tell the parents for the client, it’s important to respect the client’s autonomy and confidentiality. The nurse should support the client in making their own decisions about disclosure.
Choice B rationale
It’s not necessarily true that the parents will have to be told why the client is being admitted. Confidentiality is a key aspect of healthcare, especially when it comes to sensitive issues like sexually transmitted infections.
Choice C rationale
This response is empathetic and non-judgmental. It acknowledges the client’s feelings and opens up a conversation without forcing any action. This allows the client to feel heard and supported, which is crucial in a healthcare setting.
Choice D rationale
While this response might be well-intentioned, it assumes that the parents will understand and doesn’t acknowledge the client’s fear or concern. It’s important for the nurse to validate the client’s feelings and provide support.
Correct Answer is B
Explanation
Choice A rationale
While follow-up testing is important for individuals diagnosed with chlamydia, retesting is typically recommended 3 months after treatment, not 6 months.
Choice B rationale
This is the correct statement. Chlamydia is treated with antibiotics, and a single dose of azithromycin is one of the recommended treatments.
Choice C rationale
This statement is incorrect. Even if a sexual partner of a person diagnosed with chlamydia has no symptoms, they still need to be tested and treated if necessary. Chlamydia can be asymptomatic, and untreated chlamydia can lead to serious health problems.
Choice D rationale
While abstaining from sexual relations until treatment is complete is recommended, it is not the only necessary step. The client’s sexual partners also need to be informed, tested, and treated if necessary.
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