A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Arrange the steps in order, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.)
Breast tenderness
Nausea and vomiting
Quickening
Goodell's sign
Striae gravidarum
Lightening
Correct Answer : A,B,C,D,E,F
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["179.6"]
Explanation
To calculate the total protein/day that the nurse should recommend, we need to use the following formula:
Total protein/day = (Current protein intake + Increase in protein intake) x Weight in kg
The current protein intake is given as 0.8 g/kg/day, and the increase in protein intake is given as 20 g/kg/day. To convert the weight from pounds to kilograms, we need to divide by 2.2, so 220 lb / 2.2 = 100 kg.
Plugging these values into the formula, we get:
Total protein/day = (0.8 g/kg/day + 20 g/kg/day) x 100 kg Total protein/day = (20.8 g/kg/day) x 100 kg
Total protein/day = 2080 g/day
However, we need to round this answer to the nearest tenth, as per the instructions, so we get:
Total protein/day = 179.6 g of protein/day
Correct Answer is C
Explanation
c. Excessive uterine enlargement
A hydatidiform mole is a type of gestational trophoblastic disease, where the placenta develops abnormally into a mass of cysts that resemble grape-like clusters. A hydatidiform mole can cause excessive uterine enlargement, as the uterus grows larger than expected for the gestational age. The nurse should measure the fundal height and compare it with the expected value based on the last menstrual period or ultrasound.
The other findings are not associated with a hydatidiform mole and may indicate other conditions.
Whitish vaginal discharge is not a sign of a hydatidiform mole, but it may be normal in pregnancy due to increased cervical mucus production. However, if the discharge is foul-smelling, yellow, green, or bloody, it may indicate an infection or a complication such as preterm labor or placental abruption.
Fetal heart rate irregularities are not a sign of a hydatidiform mole, but they may indicate fetal distress or congenital anomalies. A hydatidiform mole usually does not have a viable fetus, and fetal heart tones are absent or very faint. The nurse should use a Doppler device or a fetal monitor to assess the fetal heart rate and rhythm.
d. Rapidly dropping human chorionic gonadotropin (hCG) levels are not a sign of a hydatidiform mole, but they may indicate a spontaneous abortion or an ectopic pregnancy. A hydatidiform mole usually causes very high hCG levels, as the abnormal placental tissue secretes large amounts of this hormone. The nurse should perform a urine or blood test to measure the hCG levels and monitor them for chan
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