A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?
20
18
28
24
The Correct Answer is D
a. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
b. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
c. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
d. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Amenorrhea, or the absence of menstrual periods, is a presumptive sign of pregnancy that occurs around the time of implantation of the fertilized egg.
b. A positive pregnancy test is a probable sign of pregnancy that can occur as early as 7-10 days after conception.
c. Chadwick's sign, or the bluish discoloration of the cervix and vagina, is a probable sign of pregnancy that typically occurs around 6-8 weeks of gestation.
d. Hegar's sign, or the softening of the lower uterine segment, is a probable sign of pregnancy that typically occurs around 6-12 weeks of gestation.
Correct Answer is C
Explanation
a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.
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