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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Telling the client to “just relax” may come off as dismissive and may not address the client’s concerns or fears.
Choice B rationale
While this response shows empathy and support, it does not directly address the client’s concerns about the pelvic examination.
Choice C rationale
This response is not entirely accurate. While a pelvic exam can be part of the process when starting birth control, it is not always required.
Choice D rationale
This is the most appropriate response. By asking the client what part of the exam makes her most nervous, the nurse is acknowledging the client’s anxiety and opening up a dialogue to address her specific concerns.
Correct Answer is B
Explanation
Choice A rationale
Enlarged lymph nodes are not a typical finding related to breast changes in early pregnancy.
Choice B rationale
Darkened breast areolas are a common change in early pregnancy. This is due to hormonal changes that affect the skin’s pigmentation.
Choice C rationale
Deeply fissured nipples are not a typical change in early pregnancy. However, some women may experience nipple sensitivity or tenderness.
Choice D rationale
Slack soft breast tissue is not a typical change in early pregnancy. In fact, many women experience breast enlargement and firmness during this time.
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