A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.
Which findings should the nurse anticipate? (Select all that apply.)

Chloasma.

Linea nigra.

Eczema.

Psoriasis.

Striae gravidarum.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale

Chloasma. Also known as melasma or the “mask of pregnancy,” chloasma is a common skin change during pregnancy. It appears as dark, irregular patches on the face19.

Choice B rationale

Linea nigra. This is a dark line that runs from the belly button to the pubic hair. It is another common skin change during pregnancy19.

Choice C rationale

Eczema. While some women may experience a worsening of eczema symptoms during pregnancy, it’s not a skin change that’s specifically associated with pregnancy19.

Choice D rationale

Psoriasis. Like eczema, psoriasis is not a skin change that’s specifically associated with pregnancy. Some women may see their psoriasis improve during pregnancy, while others may see it get worse19.

Choice E rationale

Striae gravidarum. Also known as stretch marks, these are another common skin change during pregnancy. They appear as pink, red, or purple streaks on the skin19.

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Correct Answer is C

Explanation

GTPAL calculation:

Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.

Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).

Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.

Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.

Step 5 is: Determine Living (L) children = 2 (twins) = L2.

The GTPAL status is: G4 T0 P1 A2 L2.

A. Patient-centered care. B. Evidence-based practice. C. Teamwork and collaboration. D. Quality improvement.

Correct Answer is B

Explanation

The correct answer is B. Evidence-based practice. Sharing the latest research on improving breastfeeding success for first-time mothers supports the Quality and Safety Education for Nurses competency of Evidence-based practice. This competency emphasizes the use of current evidence in making decisions about the care of individual patients or delivery of health services.

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A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.Which findings should the nurse anticipate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers. Which Quality and Safety Education for Nurses competency does this action support?

Correct Answer is B

Explanation

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

A nurse is attending to an antepartum client whose lab results show a negative rubella titer.What is the correct interpretation of this data?

A nurse is providing preconception counseling for a client who is planning a pregnancy.Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

During the initial prenatal visit, a nurse is educating a client.Which statement from the client suggests that further clarification is needed?

A nurse is educating a client who is 12 weeks pregnant about expected gestational changes.Which statement by the client indicates a need for further teaching?

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.Which of the following should be included in the teaching?

A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.
Which findings should the nurse anticipate? (Select all that apply.)