A nurse is caring for a client who has a positive pregnancy test.
The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger.
The nurse should instruct the client to call the clinic if she experiences which of the following manifestations?

Urinary frequency.

Nausea and vomiting.

Leukorrhea.

Facial edema.

Answer and Explanation

The Correct Answer is D

Choice D rationale

Facial edema, or swelling, can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure. It is important for pregnant women to seek medical attention if they notice sudden or severe swelling in their face, hands, or fingers.

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Correct Answer is C

Explanation

GTPAL calculation:

Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.

Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).

Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.

Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.

Step 5 is: Determine Living (L) children = 2 (twins) = L2.

The GTPAL status is: G4 T0 P1 A2 L2.

A. Chloasma. B. Linea nigra. C. Eczema. D. Psoriasis. E. Striae gravidarum.

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale

Chloasma. Also known as melasma or the “mask of pregnancy,” chloasma is a common skin change during pregnancy. It appears as dark, irregular patches on the face19.

Choice B rationale

Linea nigra. This is a dark line that runs from the belly button to the pubic hair. It is another common skin change during pregnancy19.

Choice C rationale

Eczema. While some women may experience a worsening of eczema symptoms during pregnancy, it’s not a skin change that’s specifically associated with pregnancy19.

Choice D rationale

Psoriasis. Like eczema, psoriasis is not a skin change that’s specifically associated with pregnancy. Some women may see their psoriasis improve during pregnancy, while others may see it get worse19.

Choice E rationale

Striae gravidarum. Also known as stretch marks, these are another common skin change during pregnancy. They appear as pink, red, or purple streaks on the skin19.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.Which findings should the nurse anticipate? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation.Which of the following should be included in the teaching?

A nurse in a college health clinic is speaking to a group of adolescents about toxic shock syndrome (TSS). Which of the following should the nurse include in the teaching as increasing the risk for contracting TSS?

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and is at risk for placental abruption.Which of the following is the most common risk factor for abruption?

A nurse is providing preconception counseling for a client who is planning a pregnancy.Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation.The client reports urinary frequency and asks if this will continue until delivery.Which of the following responses should the nurse make?

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.Which statement should the nurse make?