A client is concerned about needing a blood transfusion after delivery due to the blood loss in delivery.
The nurse explains that blood volume increases during pregnancy.
Which of the following is the correct percentage of increased blood volume during pregnancy that the nurse should explain to the client?

10% - 15%.

20% - 30%.

40% - 50%.

65% - 75%. .

Answer and Explanation

The Correct Answer is C

Choice A rationale

A 10% to 15% increase in blood volume during pregnancy is too low compared to the average physiological changes that occur.

Choice B rationale

A 20% to 30% increase in blood volume is also below the expected range of increase during pregnancy.

Choice C rationale

Blood volume typically increases by 40% to 50% during pregnancy. This significant increase supports the demands of the growing fetus and placenta and prepares the mother's body for the blood loss that occurs during delivery.

Choice D rationale

A 65% to 75% increase is an overestimate. Such an extensive increase would be abnormal and is not typical in healthy pregnancies.

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Correct Answer is C

Explanation

Choice A rationale

Placenta formation begins shortly after implantation, but it continues to develop throughout the first trimester and into the early second trimester, making it less precise to attribute the first 8 weeks solely to this process.

Choice B rationale

Fertilization occurs within the first week after ovulation, marking the beginning of pregnancy, but it is a singular event that happens prior to the developmental processes vulnerable to teratogens.

Choice C rationale

Organogenesis is the critical period during which the major organs and structures of the fetus form, typically occurring between the third and eighth weeks of gestation. This is the time when the fetus is most susceptible to the effects of teratogens, which can cause congenital anomalies.

Choice D rationale

Implantation occurs approximately 6-10 days after fertilization, embedding the blastocyst into the uterine lining. While crucial, it is not the primary period when teratogenic effects are most significant, as this happens during organogenesis.

A. Decreased deep tendon reflexes. B. Uterine contractions. C. Proteinuria. D. Increased blood glucose level.

Correct Answer is C

Explanation

Choice A rationale

Decreased deep tendon reflexes are not typically associated with preeclampsia. In fact, hyperreflexia or increased deep tendon reflexes might be observed due to central nervous system irritability in preeclampsia.

Choice B rationale

Uterine contractions are related to labor and not a specific indicator of preeclampsia. While they might occur simultaneously, they are not diagnostic of preeclampsia.

Choice C rationale

Proteinuria, the presence of excess protein in the urine, is a key diagnostic criterion for preeclampsia. It indicates kidney involvement and is used along with elevated blood pressure to diagnose this condition.

Choice D rationale

Increased blood glucose levels are associated with gestational diabetes rather than preeclampsia. Elevated blood pressure and proteinuria are the hallmarks of preeclampsia.

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Naxlex Comprehensive Predictor Exams

During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens.What is occurring during the first 8 weeks of gestation?

Correct Answer is C

Explanation

A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min.The nurse suspects preeclampsia.What additional finding would the nurse assess for?

Correct Answer is C

Explanation

A nurse is caring for a client during the second trimester of pregnancy.After reviewing the client's blood work, the nurse notes the client is rubella non-immune.When should the client be offered the rubella immunization?

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A nurse is caring for a client who is 6 hours postpartum following a vaginal birth.The client has saturated a perineal pad within 15 minutes.Which of the following actions should the nurse take first?

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The nurse working in a clinic often screens her patients for postpartum depression (PPD). Identify the differences between postpartum depression and postpartum blues.

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