A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Lightening

Decreasing chest diameter

Decreased carbon dioxide production

Hyperventilation

Answer and Explanation

The Correct Answer is A

A. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.

B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.

C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.

D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.

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Correct Answer is C

Explanation

A. Picture book about hospitals – Incorrect; a picture book may help older children but is not as effective for a 2-year-old experiencing separation anxiety.

B. Toy hammer and pounding board – These toys can be good for physical activity, but they might not be calming during a stressful tantrum.

C. Stuffed animal – Correct; comfort objects help reduce anxiety and provide security in an unfamiliar environment.

D. Set of building blocks – Incorrect; blocks help with fine motor development but do not directly address stress relief as well as other options.

A. "You will need to discuss this with the provider." B. "There are specific pain management options that you need to use." C. "It is better to use pain management options that have been researched." D. "We will work with you to incorporate the practices that are safe for you and your fetus."

Correct Answer is D

Explanation

A. "You will need to discuss this with the provider." – Incorrect; the nurse plays a key role in assessing and incorporating cultural practices into care.
B. "There are specific pain management options that you need to use." – Incorrect; this does not consider the client’s preferences and cultural beliefs.
C. "It is better to use pain management options that have been researched." – Incorrect; while evidence-based practices are important, cultural preferences should be respected.
D. "We will work with you to incorporate the practices that are safe for you and your fetus." – Correct; this response is client-centered and respects cultural beliefs while ensuring safety.

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A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-year-old child who is hospitalized and throws a tantrum when his parent leaves. Which of the following toys should the nurse provide to alleviate the child's stress?

Correct Answer is C

Explanation

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

Correct Answer is D

Explanation

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