A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?

Urination urgency and frequency

Tingling in the fingers

Round ligament pain

Perineal discomfort and pressure

Answer and Explanation

The Correct Answer is A

(A) Urination urgency and frequency:
Increased urgency and frequency of urination are common discomforts during the first trimester of pregnancy. This occurs due to hormonal changes and the growing uterus pressing on the bladder, which reduces its capacity.

(B) Tingling in the fingers:
Tingling in the fingers, also known as carpal tunnel syndrome, is more commonly associated with the later stages of pregnancy when fluid retention is more pronounced. It is not typically a common discomfort during the first trimester.

(C) Round ligament pain:
Round ligament pain is more common in the second trimester when the uterus is growing rapidly and the ligaments supporting it stretch. This type of pain usually manifests as sharp, shooting pain in the lower abdomen or groin.

(D) Perineal discomfort and pressure:
Perineal discomfort and pressure are more common in the later stages of pregnancy, particularly in the third trimester, as the baby descends into the pelvis and prepares for birth. It is not typically a discomfort experienced during the first trimester.

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Correct Answer is C

Explanation

(a) "White blood cell count is an indicator of anemia."
A white blood cell (WBC) count is primarily used to assess for infection or inflammation, not anemia. Anemia is typically evaluated by measuring hemoglobin and hematocrit levels, not WBC count. This statement indicates a misunderstanding of the purpose of the WBC count.

(b) "Urine specific gravity identifies my risk for pregnancy induced hypertension."
Urine specific gravity measures the concentration of urine and is used to assess hydration status and kidney function. It does not directly identify the risk for pregnancy-induced hypertension (PIH). The presence of protein in the urine (proteinuria) would be more indicative of PIH. This statement indicates a misunderstanding of the purpose of the urine specific gravity test.

(c) "Platelet count identifies if I am at risk for bleeding."
This is the correct statement. A platelet count is used to determine the number of platelets in the blood, which are essential for normal blood clotting. A low platelet count (thrombocytopenia) can indicate an increased risk of bleeding, while a high count (thrombocytosis) can be associated with clotting disorders.

(d) "Sedimentation rate checks for signs of cancer."
The erythrocyte sedimentation rate (ESR) measures how quickly red blood cells settle at the bottom of a test tube. It is a nonspecific test used to detect inflammation in the body. While an elevated ESR can be associated with various conditions, including infections, autoimmune diseases, and cancers, it is not specifically used to check for cancer. This statement indicates a misunderstanding of the purpose of the sedimentation rate test.

A. "I have contractions more often than every 10 minutes, might be in preterm labor.” B. "I can take a daily iron supplement to prevent preterm labor.” C. "I should expect to feel pain in my upper right abdomen if I'm having preterm labor.” D. "I might be experiencing preterm labor if walking stops my contractions."

Correct Answer is A

Explanation

(D) "I might be experiencing preterm labor if walking stops my contractions."
Walking or changing positions may temporarily alleviate contractions in some cases, but this does not necessarily indicate preterm labor. In fact, true preterm labor contractions typically continue despite activity changes. Therefore, this statement does not demonstrate an accurate understanding of preterm labor signs.

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A nurse is reinforcing teaching with a client about common discomforts during the first trimester of pregnancy. Which of the following discomforts should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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