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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Instructing the client to avoid alcohol for 72 hr after treatment is a common instruction given when a client is prescribed certain medications, such as metronidazole, due to the potential for a disulfiram-like reaction. However, this choice does not directly address the client’s symptoms of vaginal itching and discharge.
Choice B rationale
The client’s symptoms are indicative of Bacterial Vaginosis (BV), a common vaginal infection in women of reproductive age. Metronidazole is a medication commonly used to treat this infection. A single dose of 2 g orally is a typical treatment regimen.
Choice C rationale
An oatmeal sitz bath can help soothe irritated skin and reduce inflammation, but it does not treat the underlying cause of the client’s symptoms.
Choice D rationale
Douching is generally not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to further complications.
Choice E rationale
Recommending the client’s partner receive treatment is important in cases of sexually transmitted infections to prevent reinfection. However, this choice does not directly address the client’s immediate need for treatment.
Correct Answer is C
Explanation
Choice A rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription A based on the information provided.
Choice B rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription B based on the information provided.
Choice C rationale
The client’s temperature is slightly elevated, which could indicate an infection or other medical condition. Prescription C might be an antibiotic or other medication to treat the suspected condition.
Choice D rationale
The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription D based on the information provided.
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