A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer

3 lbs per week for each week of pregnancy

35-40 lbs throughout the entire pregnancy

15-20 lbs throughout the entire pregnancy

Less than a 1lb per week for each week of pregnancy.

Answer and Explanation

The Correct Answer is C

A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.

B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.

C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.

D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.

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Correct Answer is ["A","C"]

Explanation

A. Maternal hypotension is a common side effect of epidural anesthesia, which can reduce uteroplacental blood flow and lead to late decelerations in the fetal heart rate.

B. Maternal tachycardia is not typically associated with late decelerations; it is more often seen with early decelerations or fetal distress.

C. An IV bolus prior to the epidural helps maintain blood volume and prevent hypotension. Without it, the risk of hypotension and subsequent late decelerations increases.

D. Placenta previa typically causes painless vaginal bleeding and may lead to abnormal FHR patterns, but it is not a direct cause of late decelerations post-epidural.

A. Ectopic pregnancy. B. Urinary tract infections C. A decrease in estrogen levels. D. Early menopause.

Correct Answer is A

Explanation

A. Scarring or malformation of the fallopian tube increases the risk of an ectopic pregnancy. This condition can prevent the fertilized egg from traveling properly to the uterus, leading to implantation in the fallopian tube.

B. Urinary tract infections are not directly related to malformation or scarring of the fallopian tubes.

C. Decreased estrogen levels are not directly caused by fallopian tube scarring.

D. Early menopause is unrelated to fallopian tube scarring, which typically affects fertility but not directly menopause onset.

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A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

Correct Answer is ["A","C"]

Explanation

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Correct Answer is A

Explanation

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