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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.

Answer and Explanation

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.

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Correct Answer is ["B","C","E"]

Explanation

A) Incorrect- Dry, cracked skin is not typically associated with a newborn born at 43 weeks of gestation. It's more common in post-term babies.
B) Correct - Hypotonia (low muscle tone) is a possible finding in post-term newborns due to the aging placenta and potential decrease in amniotic fluid.
C) Correct - Excessive lanugo (fine, downy hair) is more likely to be present in post-term babies as they have less vernix to protect their skin.
D) Incorrect- Absent vernix might be more characteristic of a post-term newborn, but its presence or absence varies widely.
E) Correct - Long, hard nails can be a characteristic of post-term babies, as they have had more time for nail growth in the womb.

A. "Cleanse your perineum with povidone-iodine prior to collecting each urine specimen." B. "You should start the 24-hour collection with your first urination." C. "You should record the time on the collection container of any missed urine specimens." D. "Do not add a urine specimen to the collection container if it contains stool

Correct Answer is C

Explanation

A) Incorrect- Cleansing the perineum with povidone-iodine is not relevant to the collection process.
B) Incorrect- The 24-hour collection should start with the first-morning urination, not with any random urination.
C) Correct - Recording the time on the collection container for any missed urine specimens is important for accurate measurement.
D) Incorrect- Stool should not be added to the urine collection container, but this is not the most important point to emphasize in this teaching.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is reinforcing teaching with a client who has gestational hypertension about collecting a 24-hr urine specimen for protein. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client about the care of their newborn's umbilical cord. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching about an amniocentesis with a client who is at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast. Which of the following Instructions should the nurse include?

A nurse in a provider's office is collecting data from a client who is requesting a prescription for a transdermal contraceptive patch. The nurse should recognize which of the following client findings is a contraindication for this method of contraception.

A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

A nurse on a postpartum unit is caring for a client who delivered vaginally 24 hr ago. Which of the following should the nurse expect to find when collecting data?

A nurse on a postpartum unit is caring for a client who is breastfeeding and experiencing breast engorgement. Which of the following interventions should the nurse plan to implement to promote comfort for this client?

A nurse is caring for a client who had a vaginal delivery 1 day ago. The nurse determines that the client's fundus is firm, located 2 fingerbreadths above the umbilicus, and deviated to the left. Which of the following actions should the nurse take first?