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A nurse is reinforcing teaching about common discomforts of pregnancy during the first trimester with a client who is pregnant.

Which of the following manifestations should the nurse include in the teaching?

A. Supine hypotension.

Choice A, Supine hypotension, is incorrect because it refers to a condition that can occur later in pregnancy when a woman lies on her back and the weight of the uterus compresses major blood vessels.

B. Heartburn.

Choice B, Heartburn, is incorrect because it is more commonly experienced later in pregnancy.

C. Constipation.

Choice C, Constipation, is incorrect because it is more commonly experienced later in pregnancy.

D. Urinary frequency.

During the first trimester of pregnancy, many women experience increased urination. The amount of blood in your body increases during pregnancy, causing your kidneys to process extra fluid that ends up in your bladder.

This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom- Wn23 NS122 Proctored Exam. Take the full exam now


Full Explanation

During the first trimester of pregnancy, many women experience increased urination.
The amount of blood in your body increases during pregnancy, causing your kidneys to process extra fluid that ends up in your bladder.
Choice A, Supine hypotension, is incorrect because it refers to a condition that can occur later in pregnancy when a woman lies on her back and the weight of the uterus compresses major blood vessels.
Choice B, Heartburn, is incorrect because it is more commonly experienced later in pregnancy.
Choice C, Constipation, is incorrect because it is more commonly experienced later in pregnancy.
 


Similar Questions

QUESTION

A client in her first trimester is concerned about how weight gain will affect her appearance and questions the nurse concerning dietary restrictions.

How much weight gain should the nurse point out will be safe for this client with a low BMI?

A. 15 to 25 pounds (7 to 11 kilograms).

Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.

B. 28 to 40 pounds (13 to 18 kilograms).

28 to 40 pounds (13 to 18 kilograms). Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.

C. 16 to 30 pounds (7.25 to 14 kilograms).

Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.

D. 25 to 35 pounds (11 to 16 kilograms).

Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.

Full Explanation

28 to 40 pounds (13 to 18 kilograms). 
Women with a low BMI (under 18.5) should gain between 28 to 40 pounds (13 to 18 kilograms) throughout their pregnancy.
Choice A, 15 to 25 pounds (7 to 11 kilograms), is incorrect because it is the recommended weight gain for women who are overweight before pregnancy.
Choice C, 16 to 30 pounds (7.25 to 14 kilograms), is incorrect because it does not fall within the recommended weight gain range for women with a low BMI.
Choice D, 25 to 35 pounds (11 to 16 kilograms), is incorrect because it is the recommended weight gain for women who are at a healthy weight before pregnancy.

QUESTION

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.

Which of the following information should the nurse include?

A. This test will screen for gestational diabetes.

Choice A is incorrect because this test does not screen for gestational diabetes.

B. This test will screen for fetal maturity.

Choice B is incorrect because this test does not screen for fetal maturity.

C. This test will screen for neural tube defects.

The MSAFP test measures the levels of alpha-fetoprotein (AFP) in the mother’s body. AFP is a protein produced by the baby during pregnancy. Too much AFP in the mother’s body may indicate that the baby is at risk of a neural tube defect, like spina bifida.

D. This test will screen for ABO incompatibility.

Choice D is incorrect because this test does not screen for ABO incompatibility.

Full Explanation

The MSAFP test measures the levels of alpha-fetoprotein (AFP) in the mother’s body.
AFP is a protein produced by the baby during pregnancy.
Too much AFP in the mother’s body may indicate that the baby is at risk of a neural tube defect, like spina bifida.
Choice A is incorrect because this test does not screen for gestational diabetes. 
Choice B is incorrect because this test does not screen for fetal maturity. 
Choice D is incorrect because this test does not screen for ABO incompatibility.
 

QUESTION

A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?

A. Administer misoprostol vaginally.

Choice A is incorrect because misoprostol is not used to treat fever during labor.

B. Administer acetaminophen orally.

Acetaminophen can be used to reduce fever during pregnancy.

C. Prepare the client for placement of an intrauterine pressure catheter.

Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.

D. Recheck the client's temperature in 2 hr.

Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.

Full Explanation

Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.