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 ["A","B","D"]
Explanation
Choice A rationale
Basal body temperature drops slightly for 24-48 hours before ovulation, indicating the most fertile period.
Choice B rationale
Luteinizing hormone surges just before ovulation, triggering the release of an egg from the ovary.
Choice C rationale
Vaginal acidity does not significantly decrease during ovulation; it remains relatively constant.
Choice D rationale
Libido often rises during ovulation due to hormonal changes, which can increase the chances of conception.
Correct Answer is A
Explanation
Choice A rationale
Intrauterine growth restriction (IUGR) is a significant risk for newborns of mothers who smoke. Smoking affects placental blood flow, reducing the supply of oxygen and nutrients to the fetus, leading to poor growth.
Choice B rationale
Smoking is not a direct cause of gestational diabetes. Gestational diabetes is primarily related to hormonal changes in pregnancy that affect insulin regulation.
Choice C rationale
Congenital heart defects are not directly linked to smoking. They are usually caused by genetic and environmental factors during early fetal development, not smoking specifically.
Choice D rationale
Vision loss is not directly associated with maternal smoking. Smoking affects fetal growth and development, but vision loss is not a common outcome.
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