When assessing a patient’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the patient comprehends the information provided?
Abdominal pain.
Ballottement.
Sudden gush of fluid from the vagina.
Vaginal bleeding.
Quickening.
The Correct Answer is C
Choice A rationale
Abdominal pain during pregnancy can be a normal part of the process as the body changes to accommodate the growing baby. However, severe abdominal pain is not normal and could be a sign of a serious condition such as preterm labor or an ectopic pregnancy.
Choice B rationale
Ballottement refers to a medical sign used in the physical examination of a pregnant woman to detect pregnancy. It involves a quick upward pushing against the uterus and feeling for return impact from the fetus. However, it is not a symptom to report during pregnancy.
Choice C rationale
A sudden gush of fluid from the vagina can be a sign of rupture of membranes, which can lead to premature birth if it occurs before 37 weeks of gestation. This is a critical symptom to report as it may indicate that labor is imminent.
Choice D rationale
Vaginal bleeding can be a sign of several serious conditions in pregnancy such as placenta previa or placental abruption. However, light spotting is common in early pregnancy.
Choice E rationale
Quickening refers to the first movement of the fetus felt by the mother, usually between 18 and 25 weeks of gestation. It is not a symptom to report during pregnancy.
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Correct Answer is D
Explanation
Choice D rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure. It is important for pregnant women to seek medical attention if they notice sudden or severe swelling in their face, hands, or fingers.
Correct Answer is C
Explanation
Choice A rationale
While it might seem helpful to offer to tell the parents for the client, it’s important to respect the client’s autonomy and confidentiality. The nurse should support the client in making their own decisions about disclosure.
Choice B rationale
It’s not necessarily true that the parents will have to be told why the client is being admitted. Confidentiality is a key aspect of healthcare, especially when it comes to sensitive issues like sexually transmitted infections.
Choice C rationale
This response is empathetic and non-judgmental. It acknowledges the client’s feelings and opens up a conversation without forcing any action. This allows the client to feel heard and supported, which is crucial in a healthcare setting.
Choice D rationale
While this response might be well-intentioned, it assumes that the parents will understand and doesn’t acknowledge the client’s fear or concern. It’s important for the nurse to validate the client’s feelings and provide support.
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