A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?

Blood pressure values 10% above pre-pregnancy values

Heart rate increases by 10 to 15 above pre-pregnancy values

Increased blood viscosity

Decreased cardiac workload

Answer and Explanation

The Correct Answer is B

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. A decrease in saliva production may aggravate the disorder is incorrect. While excessive salivation (ptyalism) is a symptom of hyperemesis gravidarum, a decrease in saliva production is not the primary factor contributing to the disorder.

B. Decreasing gastric secretions lead to increased nausea is incorrect. While nausea and vomiting are key features of hyperemesis gravidarum, the decrease in gastric secretions does not directly cause it. The disorder is typically associated with an increase in hCG, dehydration, and electrolyte imbalances.

C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Hyperemesis gravidarum is often linked to elevated levels of hCG, a hormone produced during pregnancy, which may lead to increased nausea and vomiting.

D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically presents in the first trimester and may improve after that, although severe cases can last longer.

A. Gynecoid B. Platypelloid C. Android D. Anthropoid

Correct Answer is A

Explanation

A. The gynecoid pelvis is considered the most favorable for vaginal delivery due to its rounded shape, wide pelvic inlet, and spacious dimensions, which facilitate the passage of the fetal head.

B. The platypelloid pelvis is flat and wide, often posing challenges for vaginal delivery due to its narrow anteroposterior diameter.

C. The android pelvis has a heart-shaped inlet, making it less favorable for vaginal delivery as it can cause difficulty in fetal descent.

D. The anthropoid pelvis has an oval shape and is more favorable for vaginal delivery than android or platypelloid pelves, but it is still less optimal compared to the gynecoid pelvis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is discussing cardiovascular changes during pregnancy with a newly licensed nurse. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching of a newly licensed nurse about hyperemesis gravidarum. Which of the following statements by the newly licensed nurse indicates the reinforced teaching was effective?

Correct Answer is B

Explanation

A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which type of female pelvis is optimal for passage of the fetal head?

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?

A nurse is caring for a newborn. How many blood vessels should the nurse expect to observe in the newborn's umbilical cord?

A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?

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?

Where is the most common site for fertilization?

The nurse is presenting a conference on gene dominance. What does the nurse report as the percentage of children carrying the dominant gene if one parent has a dominant gene and the other parent does not?

A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?

A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?