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. Blood pressure typically decreases slightly during the second trimester due to hormonal effects causing vasodilation, and it generally does not rise above pre-pregnancy levels in healthy pregnancies.

B. The heart rate increases by about 10 to 15 beats per minute to meet the increased oxygen demands of the growing fetus and placenta.

C. Blood viscosity does not increase during pregnancy; rather, the plasma volume expands significantly, leading to hemodilution and a decrease in blood viscosity.

D. Cardiac workload increases during pregnancy due to the expanded blood volume and increased cardiac output required to support maternal and fetal needs.

A. Prior to giving birth B. Two weeks before attempting pregnancy again C. When she does not desire future pregnancies D. Prior to discharge from the hospital after giving birth

Correct Answer is C

Explanation

A. The MMR vaccine is contraindicated during pregnancy because it is a live vaccine. It is not safe to administer it during pregnancy due to the risk of teratogenic effects.

B. The MMR vaccine should be administered after the pregnancy is completed, ideally before attempting a future pregnancy. The vaccine is effective in creating immunity but cannot be given while pregnant.

C. The MMR vaccine should be given when the woman is not pregnant, preferably after delivery and before future pregnancies. This allows the body to develop immunity to rubella, measles, and mumps.

D. Administering the MMR vaccine prior to discharge is not recommended while the client is still pregnant, as the vaccine is contraindicated during pregnancy.

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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?

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Naxlex Comprehensive Predictor Exams

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