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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The gynecoid pelvis is considered the most favorable for vaginal delivery due to its rounded shape, wide pelvic inlet, and spacious dimensions, which facilitate the passage of the fetal head.
B. The platypelloid pelvis is flat and wide, often posing challenges for vaginal delivery due to its narrow anteroposterior diameter.
C. The android pelvis has a heart-shaped inlet, making it less favorable for vaginal delivery as it can cause difficulty in fetal descent.
D. The anthropoid pelvis has an oval shape and is more favorable for vaginal delivery than android or platypelloid pelves, but it is still less optimal compared to the gynecoid pelvis.
Correct Answer is C
Explanation
A. Cycling can be safe during pregnancy if the woman is accustomed to it, as long as she avoids the risk of falling or injury. It is important to take precautions, but cycling itself is not inherently dangerous.
B. Swimming is an excellent form of low-impact exercise during pregnancy and is generally recommended for its cardiovascular benefits and ability to relieve physical discomforts.
C. Racquetball involves rapid movements and potential contact or falls, which could pose a risk to the pregnant woman. This activity should be avoided during pregnancy.
D. Yoga is a safe and beneficial exercise during pregnancy, especially when practicing poses that focus on flexibility, relaxation, and controlled breathing.
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