A nurse is educating a client who has a positive pregnancy test about common discomforts in the first trimester of pregnancy and warning signs of potential danger.
Which of the following manifestations should the nurse instruct the client to report to the clinic?
Facial edema
Nausea and vomiting
Leukorrhea
Urinary frequency
The Correct Answer is A
Choice A rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious condition that can occur during pregnancy. Preeclampsia is characterized by high blood pressure and damage to organs such as the liver and kidneys. If a pregnant woman notices sudden or severe swelling in her face or hands, she should seek medical attention immediately.
Choice B rationale
Nausea and vomiting are common discomforts during the first trimester of pregnancy. They are often caused by hormonal changes and usually resolve by the second trimester. While they can be uncomfortable, they are not typically a sign of a serious problem.
Choice C rationale
Leukorrhea, or a thin, milky white vaginal discharge, is normal during pregnancy. It is caused by increased estrogen production and greater blood flow to the pelvic area. However, if the discharge changes in color, consistency, or smell, or if it is associated with itching or burning, it could be a sign of an infection and should be reported to a healthcare provider.
Choice D rationale
Increased urinary frequency is a common symptom in early pregnancy. It is caused by hormonal changes and increased blood flow to the kidneys. While it can be inconvenient, it is not typically a sign of a serious problem.
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Correct Answer is C
Explanation
Choice A rationale
Activities that raise the body temperature, such as saunas and hot tubs, are generally not recommended during pregnancy. Elevated body temperature, particularly during the first trimester, has been associated with an increased risk of neural tube defects.
Choice B rationale
The statement that exercising during pregnancy is not recommended is not accurate. Regular exercise during pregnancy can have many benefits, including reduced risk of gestational diabetes, preeclampsia, and cesarean delivery.
Choice C rationale
Daily jogging for up to 30 minutes is generally safe throughout pregnancy for women who were regular runners before becoming pregnant. However, it’s important to discuss any exercise regimen with a healthcare provider.
Choice D rationale
While stretching activities can be beneficial during pregnancy, they should not be the only form of exercise. A balanced exercise routine that includes aerobic and strength-training exercises is generally recommended.
Correct Answer is C
Explanation
Choice A rationale
While iron is an important nutrient during pregnancy, it does not specifically help prevent neural tube defects in the fetus.
Choice B rationale
Vitamin C is an essential nutrient for overall health, but it is not specifically linked to the prevention of neural tube defects.
Choice C rationale
Folic acid is the supplement recommended to help prevent neural tube defects in the fetus. It is crucial for the proper closure of the neural tube during early fetal development.
Choice D rationale
Calcium is important for the development of the baby’s bones and teeth, but it does not specifically help prevent neural tube defects.
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