A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
"I should expect to have burning when I urinate during the third trimester."
"I may have an infection if I develop a dark line in the middle of my abdomen."
"I should expect my fingers and face to be swollen."
"I may develop discoloration on my cheeks from hormonal changes.
The Correct Answer is D
The correct answer is d. "I may develop discoloration on my cheeks from hormonal changes."
Choice a rationale:
- Statement: "I should expect to have burning when I urinate during the third trimester."
- Rationale: This statement is incorrect. Burning during urination is not a normal physiological change of pregnancy. It may be a sign of a urinary tract infection (UTI), which is a common infection during pregnancy. If a pregnant client experiences burning during urination, she should report it to her healthcare provider for evaluation and treatment.
Choice b rationale:
- Statement: "I may have an infection if I develop a dark line in the middle of my abdomen."
- Rationale: This statement is incorrect. A dark line in the middle of the abdomen, known as the linea nigra, is a normal physiological change of pregnancy. It is caused by hormonal changes that increase melanin production in the skin. The linea nigra typically appears in the second trimester and fades after delivery.
Choice c rationale:
- Statement: "I should expect my fingers and face to be swollen."
- Rationale: This statement is partially correct. Some swelling in the hands and face is common during pregnancy, especially in the third trimester. This is due to fluid retention caused by hormonal changes. However, excessive swelling, particularly in the hands and face, can be a sign of preeclampsia, a serious pregnancy complication. It's important to report any significant swelling to a healthcare provider.
Choice d rationale:
- Statement: "I may develop discoloration on my cheeks from hormonal changes."
- Rationale: This statement is correct. Hormonal changes during pregnancy can cause a variety of skin changes, including melasma, which is a brownish discoloration that often appears on the cheeks, forehead, and nose. Melasma is more common in women with darker skin tones and usually fades after delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect- Oxytocin is not typically administered during a nonstress test.
B) Incorrect- A nonstress test is used to assess fetal well-being and does not indicate Down syndrome.
C) Correct - A lateral tilt position (usually left lateral tilt) is recommended during a nonstress test to prevent compression of the vena cava and maintain proper blood flow to the uterus, which can optimize fetal heart rate monitoring.
D) Incorrect- NPO status is not typically required for a nonstress test. Nonstress tests are non-invasive and do not involve fasting.
Correct Answer is D
Explanation
A) Incorrect- The Papanicolaou (Pap) test is not used to determine ovulation status.
B) Incorrect-The Pap test is used to detect abnormal cervical cells and cervical cancer, not endometriosis.
C) Incorrect- The Pap test is not a procedure for removing uterine fibroids.
D) Correct - The primary purpose of the Pap test (Pap smear) is to detect abnormal cervical cells that could indicate the presence of cervical cancer or precancerous conditions.
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