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

Answer and Explanation

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

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 D

Explanation

Choice A rationale
While it’s true that the growing uterus can exert pressure on the stomach and cause symptoms such as heartburn, this is more common in the later stages of pregnancy, not as early as 12 weeks.
Choice B rationale
Increased progesterone production does cause decreased motility of smooth muscle during pregnancy. This can lead to a variety of gastrointestinal symptoms, including heartburn. However, this is not the primary cause of heartburn during pregnancy.
Choice C rationale
Retained bile in the liver does not typically result in heartburn. Bile is produced by the liver and aids in the digestion of fats. If bile is retained in the liver, it can lead to conditions such as cholestasis, but it is not a direct cause of heartburn.
Choice D rationale
Increased estrogen production does not directly cause an increase in the secretion of hydrochloric acid. However, the hormonal changes that occur during pregnancy, including increased levels of progesterone, can relax the lower esophageal sphincter. This relaxation can allow gastric acid to escape into the esophagus, causing heartburn.

A. In the third trimester B. Immediately after giving birth C. During her next attempt to get pregnant D. Shortly after giving birth

Correct Answer is B

Explanation

Choice A rationale
Rubella immunization in the third trimester is not recommended because it could potentially expose the fetus to the vaccine virus.
Choice B rationale
The Centers for Disease Control and Prevention (CDC) recommends that women who are not immune to rubella and are not pregnant should get vaccinated immediately after giving birth. This is because rubella can cause serious problems during pregnancy, such as miscarriage or serious birth defects.
Choice C rationale
Waiting until the next attempt to get pregnant to get the rubella vaccine could potentially expose the fetus to the vaccine virus if the woman becomes pregnant too soon after vaccination.
Choice D rationale
While it is recommended to get the rubella vaccine shortly after giving birth, it is not recommended to get the vaccine shortly after giving birth if the woman is already pregnant.

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 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is at 12 weeks gestation. The client is curious about the cause of her heartburn. Which of the following responses should the nurse provide?

Correct Answer is D

Explanation

A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client’s blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?

Correct Answer is B

Explanation

A nurse is teaching a patient who is 15 weeks pregnant and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

The nurse is teaching a client in the first trimester of pregnancy about the importance of folic acid in the diet and how folic acid supplements might be beneficial. For which reason is the nurse teaching the client about this vitamin?

The nurse in the prenatal clinic is educating a group of pregnant women attending the clinic for the first time about the visit schedule. Which of the following is correct about the visit schedule?

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

A nurse is instructing a male client about a semen analysis to be done for suspected infertility. Which of the following should be included in the teaching?

A nurse is preparing a teaching plan for a patient who is considering tubal ligation. What should the nurse emphasize during the teaching session?

A nurse is teaching a group of clients who are in their first trimester about exercise during pregnancy.Which of the following statements should the nurse include in the teaching?

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?