The nurse knows that a normal physiologic alteration of the circulatory system associated with thromboembolic events in pregnancy is:
Increased fibrinogen and decreased fibrinolysis.
Increased blood volume and increased cardiac output.
Decreased hematocrit and increased red blood cell level (RBC).
Decreased blood pressure and decreased hemoglobin.
The Correct Answer is A
Choice A rationale
During pregnancy, there is an increase in fibrinogen and a decrease in fibrinolysis. These changes increase the risk of thromboembolic events, as they promote clot formation.
Choice B rationale
Increased blood volume and cardiac output are normal in pregnancy but do not directly increase the risk of thromboembolic events. They are adaptations to meet the increased metabolic demands.
Choice C rationale
Decreased hematocrit and increased RBC levels are typical in pregnancy but are related to the physiological dilution of blood, not thromboembolic risks.
Choice D rationale
Decreased blood pressure and hemoglobin are common in pregnancy due to increased blood volume but are not associated with increased thromboembolic risks. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["July 27"]
Explanation
Step 1 is to identify the first day of the last menstrual period (LMP), which is October 20.
Step 2 is to count back 3 months from October 20, resulting in July 20.
Step 3 is to add 1 year to July 20, resulting in July 20 of the following year.
Step 4 is to add 7 days to July 20, resulting in July 27.
Final calculated answer: July 27 of the following year.
Correct Answer is A
Explanation
Choice A rationale
50% of the offspring have a chance of developing the disease from the affected parent. Autosomal dominant inheritance means that a single copy of the altered gene in each cell is sufficient to cause the disorder. Thus, each child of an affected parent has a 50% chance of inheriting the condition.
Choice B rationale
Diseases transmitted from a carrier mother to her son typically describe X-linked recessive inheritance, not autosomal dominant. In autosomal dominant conditions, both males and females can be affected, and it doesn't depend on the sex of the parent transmitting the gene.
Choice C rationale
All of the offspring will develop the disease is incorrect. In autosomal dominant inheritance, there is a 50% chance of passing the altered gene to the offspring, not 100%.
Choice D rationale
50% of the offspring will be carriers of the disease from the affected parent is incorrect for autosomal dominant inheritance. There are no "carriers" in autosomal dominant diseases; individuals either have the disease or they don't, based on whether they inherit the altered gene.
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