Maternal Child Chapter 2

A nurse at the prenatal clinic examines a client and determines that her uterus has risen out of the pelvis and now is an abdominal organ. At what week of gestation does this occur?

12th week of pregnancy

A nurse is a planning a prenatal class about the changes that occur during pregnancy and the necessity of routine health care supervision throughout pregnancy. Which cardiovascular compensatory mechanisms should the nurse explain will occur?

Increased blood volume Increased cardiac output Enlargement of the heart

Which research-based knowledge guides a nurse regarding the emotional factors of pregnancy?

Ambivalence and anxiety about mothering are common

What change does a nurse expect in a client' hematologic system during the second trimester of pregnancy?

An increase in blood volume

A nurse is teaching a prenatal class about the changes that occur during the second trimester of pregnancy. What cardiovascular changes should the nurse include?

Cardiac output increases Blood pressure decreases Heart is displaced upward

During a physical in a prenatal clinic the client's vaginal muscoa is observed to have a purplish discoloration. What sign should the nurse document in the client's clinical record?

Chadwick

A nurse is teaching a class to expectant parents about the changes that are to be expected during pregnancy. What changes does the nurse explain result from the melanocyte-stimulating hormone?

Chloasma and Linea nigra

A pregnant woman reports nausea and vomiting during the first trimester of pregnancy. An increase in which hormone should the nurse explain is the precipitating cause of this?

Chorionic Gonadotropin

A client at 8 weeks' gestation reports having to urinate more often. The nurse explains that urinary frequency often occurs because bladder capacity during pregnancy is diminished by what?

Compression of the enlarging uterus

A pregnant woman visits the prenatal clinic because an over-the-counter (OTC) pregnancy test was positive. After the initial examination verifies the pregnancy, the nurse explains some of the metabolic changes that occur during the first trimester of the pregnancy.

Need for sleep increases Fluid retention increases Calcium requirements increase

What does a nurse explain to pregnant client about the cause of her physiologic anemia?

Plasma volume increases

When involved in prenatal teaching, the nurse should advise the clients that an increase in vaginal secretions during pregnancy is called leukorrhea. What causes this increase?

Production of estrogen

A nurse is assessing a pregnant client during the third trimester. What clinical finding is an expected response to the pregnancy?

Shortness of breathe on exertion

A pregnant client uses a computer continuously during her working hours. This has implications for her plan of care during pregnancy. What should the nurse recommend?

Try to walk around every few hours during the workday

A client at 35 weeks' gestation asked a nurse why her breathing has become more difficult. How should the nurse respond?

Your diaphragm has been displaced upward