A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light ﬂutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Lightening

Chloasma

Ballotement

Quickening

Answer and Explanation

The Correct Answer is D

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Correct Answer is A

Explanation

Hypertension is the most common risk factor for placental abruption, which occurs when the placenta separates from the uterine wall before delivery. Hypertension can cause damage to the blood vessels that supply the placenta, leading to reduced blood ﬂow and increased pressure in the intervillous space. This can cause hemorrhage and detachment of the placenta.

The other options are not as common as hypertension, but they can also increase the risk of placental abruption by causing trauma, vasoconstriction, or inﬂammation in the placenta or uterus.

Maternal batering can cause direct injury to the abdomen or uterus, resulting in placental abruption.

Maternal cigarete smoking can cause vasoconstriction and reduced blood ﬂow to the placenta, as well as increase the risk of thrombosis and inﬂammation in the placental vessels.

d. Maternal cocaine use can cause severe vasoconstriction and hypertension, which can impair placental perfusion and cause placental abruption.

A. "A gain of about 25 to 35 pounds is best for you and for your baby.” B. "The recommendation for you is about 15 to 25 pounds.” C. "You should gain 11 to 20 pounds." D. "It really doesn't mater exactly how much weight you gain, as long as your diet is healthy.”

Correct Answer is B

Explanation

The nurse should tell the client that the recommendation for her is about 15 to 25 pounds, as this is the range of weight gain that is considered healthy and appropriate for a pregnant woman who has a BMI of 26.5, which falls in the overweight category (BMI of 25 to 29.9). The weight gain should be gradual and consistent, with an average of

0.6 pounds per week in the second and third trimesters.

a. The nurse should not tell the client that a gain of about 25 to 35 pounds is best for her and for her baby, as this is the range of weight gain that is recommended for a pregnant woman who has a normal BMI (18.5 to 24.9). Gaining more weight than necessary can increase the risk of gestational diabetes, hypertension, preeclampsia, cesarean delivery, and postpartum weight retention.

c. The nurse should not tell the client that she should gain 11 to 20 pounds, as this is the range of weight gain that is advised for a pregnant woman who has a BMI of 30 or higher, which falls in the obese category. Gaining less weight than needed can compromise fetal growth and development, and increase the risk of preterm birth, low birth weight, and intrauterine growth restriction.

d. The nurse should not tell the client that it really doesn't mater exactly how much weight she gains, as long as her diet is healthy, as this is a vague and inaccurate statement that does not provide any guidance or education to the client. The amount of weight gain during pregnancy does mater, as it aﬀects both maternal and fetal health and outcomes. A healthy diet is important, but it is not the only factor that inﬂuences weight gain. The nurse should also consider the client's pre-pregnancy weight, physical activity level, medical history, and gestational age.

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A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light ﬂutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

Correct Answer is B

Explanation

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