A nurse is evaluating a patient in her third trimester of pregnancy.
Which findings should the nurse recognize as expected physiological changes during pregnancy?

Gradual lordosis.

Decreased mobility of pelvic joints.

Increased abdominal muscle tone.

Posterior neck flexion.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Gradual lordosis, or the inward curvature of the spine, is a common physiological change during pregnancy. As the baby grows and the woman’s center of gravity shifts, the spine adjusts to maintain balance.

Choice B rationale

Decreased mobility of pelvic joints is not a typical physiological change during pregnancy. In fact, the body releases the hormone relaxin during pregnancy, which allows the ligaments in the pelvic area to relax and the joints to become looser in preparation for the birth process.

Choice C rationale

Increased abdominal muscle tone is not a typical physiological change during pregnancy. In fact, as the baby grows, the abdominal muscles stretch and can even separate, a condition known as diastasis recti.

Choice D rationale

Posterior neck flexion is not a typical physiological change during pregnancy.

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Correct Answer is D

Explanation

Choice A rationale

Inserting an indwelling urinary catheter is not the priority nursing action in this situation. While it may be necessary later in the care process, it is not the immediate concern when the client is experiencing a large amount of painless, bright red vaginal bleeding at 38 weeks of gestation. The priority is to stabilize the client and ensure the well-being of the fetus.

Choice B rationale

Witnessing the signature for informed consent for surgery is an important step before any surgical procedure. However, it is not the priority nursing action in this situation. The client’s condition could deteriorate rapidly due to the bleeding, and immediate medical interventions are necessary to stabilize the client and fetus.

Choice C rationale

Preparing the abdominal and perineal areas may be necessary if the client requires a surgical intervention. However, this is not the priority nursing action. The client is experiencing significant bleeding, and the priority is to stabilize the client’s condition.

Choice D rationale

Initiating IV access is the priority nursing action in this situation. The client is experiencing a large amount of painless, bright red vaginal bleeding, which could lead to hypovolemia and shock. IV access allows for the rapid administration of fluids and medications to stabilize the client’s condition.

A. Perhaps you should see a counselor to discuss these feelings further. B. Don’t worry. C. Have you spoken to your mother about these feelings? D. Ambivalent feelings are quite common for women early in pregnancy.

Correct Answer is D

Explanation

Choice A rationale

While seeing a counselor could be beneficial for some women experiencing doubts and second thoughts about their pregnancy, it is not necessarily the first or only option. Many women experience a range of emotions during pregnancy, and these feelings are often temporary.

Choice B rationale

Telling a woman not to worry and that she will be fine once the baby is born may minimize her feelings and concerns. It’s important to validate her feelings and provide support.

Choice C rationale

While talking to a trusted family member or friend can be helpful, it’s not the only option. Some women may not feel comfortable discussing their feelings with family members.

Choice D rationale

Ambivalent feelings are quite common for women early in pregnancy. It’s a time of significant change, and it’s normal to have mixed feelings about it. It can be helpful to discuss these feelings with a healthcare provider, who can provide reassurance and resources.

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A nurse is evaluating a patient in her third trimester of pregnancy.Which findings should the nurse recognize as expected physiological changes during pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is D

Explanation

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A nurse is evaluating a patient in her third trimester of pregnancy.
Which findings should the nurse recognize as expected physiological changes during pregnancy?