A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

Decreased procoagulant factors during pregnancy increases the risk for blood clots.

Increased natural anticoagulants during pregnancy increases the risk for blood clots.

Increased blood plasma volume during pregnancy increases the risk for blood clots.

Increased platelets during pregnancy increases the risk for blood clots.

Answer and Explanation

The Correct Answer is C

A. Procoagulant factors, not decreased procoagulant factors, increase during pregnancy, which contributes to a hypercoagulable state.

B. Natural anticoagulants, such as antithrombin, tend to decrease during pregnancy, which actually heightens the risk of clot formation rather than mitigating it.

C. Increased blood plasma volume and elevated levels of clotting factors during pregnancy contribute to a hypercoagulable state. This adaptation helps prevent excessive bleeding during childbirth but also increases the risk of thrombosis.

D. Platelet counts do not typically increase during pregnancy; in fact, they may slightly decrease due to hemodilution, though their function remains intact.

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Correct Answer is B

Explanation

A. Craniofacial abnormalities is incorrect. While smoking during pregnancy can lead to a variety of issues, craniofacial abnormalities are not a common direct result.

B. Low birth weight is correct. Smoking during pregnancy significantly increases the risk for low birth weight, as it can restrict fetal growth by affecting placental function and blood flow to the fetus.

C. Hypersensitivity to noise is not a typical outcome associated with smoking during pregnancy. This is more related to neurological or sensory processing issues, which may have other causes.

D. Hyperactivity is incorrect. While smoking during pregnancy is associated with long-term developmental issues such as learning difficulties and behavioral problems, hyperactivity is not the immediate concern. It is more likely to be a long-term effect on cognitive and behavioral development.

A. Regular use of glycerin suppositories B. Regular use of a laxative C. Increased cellulose and fluid in the diet D. Maintenance of good posture

Correct Answer is C

Explanation

A. Glycerin suppositories can be used for occasional constipation, but they should not be used regularly during pregnancy as they can cause irritation or dependency.

B. Laxatives should be avoided during pregnancy unless recommended by the healthcare provider, as some laxatives can stimulate uterine contractions or cause dehydration.

C. Increased cellulose and fluid in the diet is the most appropriate recommendation. A high-fiber diet (e.g., fruits, vegetables, whole grains) combined with plenty of fluids helps soften stools and relieve constipation, a common issue during pregnancy due to hormonal changes.

D. Posture has minimal impact on constipation, so it's not a primary intervention for this issue.

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A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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