A nurse is assessing a client who is 6 months pregnant.
Which findings should the nurse expect? (Select all four options that apply.)

hypoactive oil and sweat glands

increased skin pigmentation

Persistent migraine headaches

Facial edema

Melasma

Linea nigra

Answer and Explanation

Correct Answer : B,D,E,F

A. Hypoactive oil and sweat glands: Pregnancy typically causes increased activity in oil and sweat glands, not decreased.

B. Increased skin pigmentation: Increased pigmentation is common during pregnancy, often affecting areas like the areolas and abdomen.

C. Persistent migraine headaches: While some women may experience headaches in pregnancy, they are not an expected or typical finding and may require further assessment.

D. Facial edema: Mild facial edema can occur as pregnancy progresses, especially due to increased blood volume and fluid retention.

E. Melasma: Melasma, or "mask of pregnancy," is a common finding characterized by dark patches on the face due to hormonal changes.

F. Linea nigra: Linea nigra is a dark line that often appears on the abdomen during pregnancy as a result of hormonal changes.

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Correct Answer is A

Explanation

A. Ventricular tachycardia: Ventricular tachycardia (VT) is identified by a regular, fast rhythm with wide QRS complexes, typically without visible P waves. This rhythm often appears as consecutive, large, uniform waves, which is consistent with what is seen in the diagram.

B. Asystole: Asystole is characterized by a flat line, indicating no electrical activity, which is not present in this strip.

C. Normal sinus rhythm: Normal sinus rhythm would show identifiable P waves, a normal QRS complex, and a regular rate, which are not observed here.

D. Ventricular fibrillation: Ventricular fibrillation appears as chaotic, irregular waveforms with no clear QRS complexes or organization, which does not match the rhythm shown.

A. palm B. parts of fingers C. dorsal side of the hand D. ulnar surface

Correct Answer is B

Explanation

A. The palm is not the best part of the hand to assess lymph nodes, as it lacks the sensitivity needed for palpation.

B. The parts of the fingers, particularly the pads of the fingers, are used to assess lymph node size. This allows for a more precise and sensitive examination of the lymph nodes.

C. The dorsal side of the hand is not typically used for palpation because it is less sensitive.

D. The ulnar surface of the hand is not commonly used for this purpose, as the fingertips provide better tactile sensation for assessing lymph node size.

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A nurse is assessing a client who is 6 months pregnant. Which findings should the nurse expect? (Select all four options that apply.)

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A nurse is assessing a client who is 6 months pregnant.
Which findings should the nurse expect? (Select all four options that apply.)