A nurse in the prenatal clinic is caring for a client who is at 10 weeks gestation. During the visit the client asks about the cause of their heartburn. The nurse would provide which of the following responses?

Pressure from the growing uterus displaces the stomach

Increased estrogen production causes increased secretion of hydrochloric acid

Increased progesterone production during pregnancy slows gastrointestinal motility

Retained bile in the liver results in delayed digestion

Answer and Explanation

The Correct Answer is C

A. Pressure from the growing uterus displaces the stomach: While the growing uterus does exert pressure on the stomach later in pregnancy, heartburn (acid reflux) at 10 weeks is more likely due to hormonal changes rather than uterine displacement, which typically becomes more noticeable in the second trimester.

B. Increased estrogen production causes increased secretion of hydrochloric acid: Increased estrogen levels during pregnancy are not linked to increased hydrochloric acid secretion as the primary cause of heartburn. While hormones do play a role, it's not typically through enhanced acid production.

C. Increased progesterone production during pregnancy slows gastrointestinal motility: Progesterone is the main hormone responsible for slowing gastrointestinal motility, leading to delayed gastric emptying and relaxation of the lower esophageal sphincter, which can cause heartburn or acid reflux.

D. Retained bile in the liver results in delayed digestion: This is not a primary cause of heartburn during pregnancy. Delayed digestion due to hormonal effects, particularly from progesterone, is the more likely cause of heartburn in the early stages of pregnancy.

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Correct Answer is D

Explanation

A. The infant will need future follow-up for a "nervous" bowel: Colic is not typically associated with a "nervous" bowel. It is marked by excessive crying and discomfort, often with no underlying gastrointestinal issues. No long-term follow-up for a "nervous" bowel is required.

B. Symptoms will decrease if the infant is laid on the back after feedings: The infant should be placed on their back to sleep to reduce the risk of SIDS, but this is not linked to reducing colic symptoms. Colic is associated factors such as digestive discomfort or overstimulation.

C. Formula intake should be doubled to keep the infant from losing weight: Doubling the formula intake is not recommended for managing colic. Overfeeding can worsen discomfort and lead to other issues like reflux. Colic does not typically result in significant weight loss if the infant is feeding appropriately.

D. Colic symptoms will probably fade at 3 months of age: Colic typically peaks around 6 to 8 weeks of age and begins to decrease by 3 to 4 months of age. Most infants outgrow the condition by this time, and the symptoms usually resolve on their own.

A. On the stomach with a pillow under her breasts B. On the side with the weight of the uterus on the bed C. On the back with a pillow under the knees and hips D. On the back with a pillow under the head

Correct Answer is B

Explanation

A. On the stomach with a pillow under her breasts: Sleeping on the stomach is not recommended during pregnancy as it becomes increasingly uncomfortable and impractical as pregnancy advances due to the growing uterus.

B. On the side with the weight of the uterus on the bed: This is the recommended position for pregnant women, especially in the second and third trimesters. Sleeping on the left side is particularly beneficial as it improves blood circulation, reduces pressure on the vena, and promotes better blood flow to the placenta and fetus.

C. On the back with a pillow under the knees and hips: Sleeping on the back is generally not recommended after the first trimester because the weight of the uterus can compress the major blood vessels, such as the inferior vena cava, reducing blood flow to the fetus.

D. On the back with a pillow under the head: While this position may be comfortable, sleeping on the back during pregnancy can lead to reduced blood flow to the fetus, especially in the later stages of pregnancy, and is generally not recommended. The side position is preferred.

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A nurse in the prenatal clinic is caring for a client who is at 10 weeks gestation. During the visit the client asks about the cause of their heartburn. The nurse would provide which of the following responses?

Nursing Test Bank

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