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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?

A.

Lightening

B.

Decreasing chest diameter

C.

Decreased carbon dioxide production

D.

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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Related Questions

Correct Answer is D

Explanation

A. Decreased response with sexual activity – Incorrect; decreased libido is common postpartum and not an urgent concern.

B. A scant non-odorous white vaginal discharge – Incorrect; lochia alba (whitish discharge) is normal at 4 weeks postpartum.

C. Uterine cramping during breastfeeding – Incorrect; cramping (due to oxytocin release) is expected postpartum.

D. A moderate serosanguineous malodorous discharge – Correct; foul-smelling lochia can indicate endometritis (a postpartum infection).

Correct Answer is D

Explanation

A. "This monitor gives me information related to fetal heart rate fluctuations during your labor." – Incorrect; the TOCO does not monitor fetal heart rate; the fetal heart rate is detected using a Doppler or fetal scalp electrode.

B. "This monitor measures the intensity and frequency of your contractions so I can observe labor progress." – Incorrect; the TOCO can measure frequency and duration, but not intensity (which requires an intrauterine pressure catheter).

C. "This monitor allows me to observe your labor progress. By observing the pattern, I can tell how strong your contractions are." – Incorrect; TOCO does not measure contraction strength, only duration and frequency.

D. "This monitor provides me with information related to the duration and frequency of your contractions." – Correct; a TOCO detects and records contraction frequency and duration, but not intensity.

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