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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Psychological disorders may occur due to the impact on the client's quality of life is correct. Hyperemesis gravidarum can have a significant psychological impact on the client, leading to mental health issues such as depression, anxiety, and stress due to the prolonged discomfort and inability to perform daily activities.
B. Persistent nausea and vomiting are expected during the first trimester is inaccurate. While mild nausea and vomiting (morning sickness) is common during the first trimester, hyperemesis gravidarum involves severe nausea and vomiting that extends beyond the normal range and can occur at any point in pregnancy.
C. Clients who have hyperemesis gravidarum may seek care early in their pregnancy is not always true. Some clients may delay seeking care, thinking it’s normal pregnancy discomfort, while others may seek help immediately due to the severity of their symptoms.
D. Measures can be taken to prevent this disease from occurring is not correct. There are no known methods to prevent hyperemesis gravidarum, although some risk factors may increase the likelihood of developing it, such as high hCG levels or carrying multiples.
Correct Answer is C
Explanation
A. Prior to giving birth: Live vaccines, such as MMR, are contraindicated during pregnancy due to the risk of harm to the fetus.
B. Two weeks before attempting pregnancy again: After receiving the MMR vaccine, a woman should wait at least 1 month (not 2 weeks) before attempting conception to prevent fetal exposure to the live virus.
C. When she does not desire future pregnancies: This would unnecessarily delay protection against rubella, which could pose a risk in future exposures or pregnancies.
D. Prior to discharge from the hospital after giving birth: This is the correct time to administer the MMR vaccine. It ensures the woman receives immunity before leaving the hospital and protects future pregnancies from congenital rubella syndrome.
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