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. Lightening refers to the sensation of the baby "dropping" into the pelvis, which typically occurs in the third trimester before labor, not at 18 weeks of gestation.

B. Quickening describes the first perception of fetal movement, often described as fluttering, and commonly occurs between 16 to 20 weeks of gestation.

C. Ballottement refers to the passive movement of the fetus when gently pushed, typically assessed during a physical examination, not a maternal sensation.

D. Chloasma is a skin change involving dark patches on the face and is unrelated to fetal movement or maternal sensations.

A. “The maternal-fetal circulation is established at 12 weeks of gestation.” B. "Very fine hairs, called lanugo, cover your baby's entire body by week 36 of pregnancy.” C. "You will first feel your baby move by week 24 of pregnancy.” D. “The sex of the baby is determined by week 8 of pregnancy.”

Correct Answer is A

Explanation

A. The maternal-fetal circulation is established by 12 weeks of gestation, allowing oxygen and nutrients to be exchanged between the mother and fetus through the placenta.
B. Lanugo begins developing around 20 weeks and starts to disappear closer to week 36, rather than covering the entire body at that time.
C. Fetal movement (quickening) is usually felt between 16-20 weeks, not as late as 24 weeks.
D. The sex of the baby is determined at conception, but external genitalia do not fully differentiate until around 12-14 weeks, not at 8 weeks.

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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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