A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.
Which of the following manifestations should the nurse include in the teaching?
Supine hypotension.
Heartburn.
Constipation.
Urinary frequency.
The Correct Answer is D
During the first trimester of pregnancy, many women experience increased urination.
The amount of blood in your body increases during pregnancy, causing your kidneys to process extra fluid that ends up in your bladder.
Choice A, Supine hypotension, is incorrect because it refers to a condition that can occur later in pregnancy when a woman lies on her back and the weight of the uterus compresses major blood vessels.
Choice B, Heartburn, is incorrect because it is more commonly experienced later in pregnancy.
Choice C, Constipation, is incorrect because it is more commonly experienced later in pregnancy.
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Correct Answer is C
Explanation
The nurse should check for blood under the client’s buttocks.
A small amount of lochia rubra on the client’s perineal pad 4 hours postpartum is normal.
The fundus being midline and firm at the umbilicus is also a normal finding.
Choice A is incorrect because assisting the client to ambulate is not necessary at this time.
Choice B is incorrect because there is no need to increase the rate of IV fluids.
Choice D is incorrect because performing a fundal massage is not necessary since the fundus is already firm and midline.
Correct Answer is B
Explanation
Blood volume increases significantly within the first few weeks of gestation and increases progressively throughout the pregnancy.
The total blood volume increase varies from 20% to 100% above prepregnancy levels, usually close to 45%1.
Choice A is incorrect because the increase is usually close to 45%, not 20% to 25%.
Choice C is incorrect because the increase is usually close to 45%, not 50% to 55%.
Choice D is incorrect because the increase is usually close to 45%, not 30% to 35%.
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