The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor.
What will the mother likely experience at that time?.
Dysuria.
Urinary frequency.
Constipation.
Dyspnea.
The Correct Answer is B
Choice A rationale:
Dysuria is not typically associated with lightening.
Choice B rationale:
Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.
Choice C rationale:
Constipation is not typically associated with lightening.
Choice D rationale:
Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.
Choice B rationale:
Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.
Choice C rationale:
Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.
Choice D rationale:
Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.
Correct Answer is A
Explanation
Choice A rationale:
Cervical dilation is the major change occurring during the first stage of labor. This stage begins with the onset of labor and ends when the cervix is fully dilated.
Choice B rationale:
Fetal movement through the birth canal primarily occurs during the second stage of labor, not the first.
Choice C rationale:
Placental separation occurs during the third stage of labor, after the baby is born.
Choice D rationale:
Regular contractions do occur during the first stage of labor, but they are not the major change. The major change is cervical dilation.
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