A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?

Supine hypotension syndrome

Pregnancy-induced hypotension

Anxiety

Hypoglycemia

Answer and Explanation

The Correct Answer is A

A. Supine hypotension syndrome occurs when the gravid uterus compresses the inferior vena cava when the woman is lying flat on her back, leading to decreased venous return, lowered cardiac output, and a drop in blood pressure. This can cause dizziness, lightheadedness, and sometimes fainting. It is more common in the later stages of pregnancy, such as at 38 weeks.

B. Pregnancy-induced hypotension refers to a decrease in blood pressure due to pregnancy, but it typically does not occur specifically when lying on the back, and is not the main cause of dizziness when positioned in that way.

C. Anxiety can cause dizziness, but it is not the most likely cause of dizziness related to lying flat on the back, especially in late pregnancy.

D. Hypoglycemia can cause dizziness, but it is not typically triggered by a change in position like lying on the back, making it less likely in this scenario.

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Correct Answer is C

Explanation

A. While alcohol consumption in early pregnancy poses significant risks, it is not safe to drink alcohol at any point during pregnancy. There is no safe amount of alcohol that can be consumed without risk to the developing fetus.

B. Although the sentiment is correct in discouraging alcohol use, this response could be seen as judgmental and may not foster a supportive environment for the client.

C. We recommend no alcohol during pregnancy for the best outcomes. This is the correct and evidence-based response. The safest choice for both maternal and fetal health is to avoid alcohol entirely during pregnancy.

D. While alcohol consumption during pregnancy can lead to various issues like fetal alcohol syndrome, it is unlikely to directly cause the baby’s heart to stop beating.

A. Gynecoid B. Platypelloid C. Android D. Anthropoid

Correct Answer is A

Explanation

A. The gynecoid pelvis is considered the most favorable for vaginal delivery due to its rounded shape, wide pelvic inlet, and spacious dimensions, which facilitate the passage of the fetal head.

B. The platypelloid pelvis is flat and wide, often posing challenges for vaginal delivery due to its narrow anteroposterior diameter.

C. The android pelvis has a heart-shaped inlet, making it less favorable for vaginal delivery as it can cause difficulty in fetal descent.

D. The anthropoid pelvis has an oval shape and is more favorable for vaginal delivery than android or platypelloid pelves, but it is still less optimal compared to the gynecoid pelvis.

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A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is pregnant and who has two children under the age of 4. The client reports feeling overwhelmed lately. The client asks the nurse, "Can't have just one glass of wine here and there?" Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which type of female pelvis is optimal for passage of the fetal head?

Correct Answer is A

Explanation

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