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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dilation – Incorrect; dilation refers to the opening of the cervix, not its thinning.
B. Effacement – Correct; effacement refers to the thinning and shortening of the cervix as labor progresses.
C. Ballottement – Incorrect; ballottement is the rebound of the fetus when tapped during a vaginal exam.
D. Multiparous – Incorrect; multiparous refers to a woman who has given birth multiple times.
Correct Answer is B
Explanation
A. The child develops new interests and hobbies. – Incorrect; this is a sign of maturity, not regression.
B. The child starts sucking their thumb again. – Correct; regression is a temporary return to earlier behaviors (e.g., thumb-sucking, bedwetting) due to stress.
C. The child becomes more independent in self-care activities. – Incorrect; increased independence is a sign of maturity, not regression.
D. The child experiences an increase in appetite. – Incorrect; increased appetite is not a typical sign of regression.
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