A nurse in a prenatal clinic is caring for a client who is at 1 week of pregnancy and has noticed bleeding without contractions.
She is in no distress and states that she can feel the baby moving. Which of the following might be the cause?
Premature maturity.
Incompetency.
Location of the placenta.
Frequency and duration of contractions.
The Correct Answer is B
Choice A rationale:
Premature maturity is not a plausible cause of bleeding without contractions at 1 week of pregnancy. Premature maturity, or preterm labor, refers to labor that begins before 37 weeks of gestation. It is characterized by contractions and cervical changes, often accompanied by other symptoms such as lower back pain, pelvic pressure, or a change in vaginal discharge. At 1 week of pregnancy, the fetus is still in the very early stages of development, and premature labor is not possible.
Choice C rationale:
The location of the placenta can sometimes cause bleeding in pregnancy, but it is typically associated with later stages of gestation, such as the second or third trimester. Placental conditions like placenta previa, where the placenta lies low in the uterus and partially or completely covers the cervix, can lead to bleeding, but this is unlikely to occur at 1 week of pregnancy. Moreover, placenta previa is usually accompanied by pain or cramping, which is not present in the client's case.
Choice D rationale:
The frequency and duration of contractions are relevant in assessing labor progression, but they are not a primary cause of bleeding without contractions. Contractions are the rhythmic tightening and relaxing of the uterine muscles that help to dilate the cervix and move the baby through the birth canal. Bleeding without contractions at 1 week of pregnancy suggests a different underlying issue.
Choice B rationale:
Incompetency, also known as cervical insufficiency or cervical incompetence, is the most likely cause of bleeding without contractions at 1 week of pregnancy. It occurs when the cervix is weak and begins to open prematurely, even without the presence of contractions. This can lead to bleeding and potential miscarriage or preterm birth. The fact that the client can feel the baby moving does not rule out cervical insufficiency, as fetal movement can sometimes be felt as early as 13-16 weeks of pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Scrambled eggs
While eggs contain protein and iron, they do not significantly enhance iron absorption.
Consuming eggs alongside ferrous sulfate has not been shown to significantly improve iron uptake. Therefore, scrambled eggs are not the most effective choice to promote iron absorption from ferrous sulfate.
Choice B: A high fiber meal
High-fiber foods can interfere with iron absorption.
Fiber binds to iron, making it less available for absorption in the small intestine. Consuming ferrous sulfate with a high-fiber meal can potentially reduce its effectiveness.
Choice C: Orange juice
Orange juice is a rich source of vitamin C, which significantly enhances iron absorption.
Vitamin C converts non-heme iron (the form of iron in ferrous sulfate) into a more easily absorbed form.
Studies have shown that consuming vitamin C with iron supplements can increase iron absorption by up to 300%.
This makes orange juice the optimal choice to accompany ferrous sulfate, ensuring optimal absorption and effectiveness in treating iron deficiency anemia.
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale: The recommended weight gain for a woman with a normal BMI (18.5-24.9) during pregnancy is 25-35 pounds. This range ensures adequate nutrition for both the mother and the developing baby, supporting optimal fetal growth and maternal health.
Choice B rationale: A weight gain of 11-20 pounds is recommended for women with a high BMI (≥30) during pregnancy. This range helps minimize the risk of complications such as gestational diabetes and hypertension, but it is not applicable for a woman with a normal BMI.
Choice C rationale: While a healthy diet is crucial, specific weight gain guidelines are essential to ensure the health of both mother and baby. Weight gain recommendations are based on evidence to support optimal outcomes, making it important to follow them.
Choice D rationale: A weight gain of 15-25 pounds is recommended for women with an overweight BMI (25-29.9) during pregnancy. This range helps support fetal growth while minimizing the risk of complications, but it is not applicable for a woman with a normal BMI.
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