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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The recommended time for rubella immunization for a woman who does not have immunity and is in the first trimester of pregnancy is shortly after giving birth. This is because the rubella vaccine is a live vaccine and is not recommended during pregnancy due to the potential risk to the fetus.
Choice B rationale
The rubella vaccine should not be given immediately during pregnancy due to the potential risk to the fetus.
Choice C rationale
While it’s ideal for a woman to be immune to rubella before she gets pregnant, if she finds out during pregnancy that she’s not immune, the vaccine should be given after delivery.
Choice D rationale
The rubella vaccine is not recommended during the third trimester of pregnancy due to the potential risk to the fetus.
Correct Answer is A
Explanation
Choice A rationale
Regular exercise is generally safe and beneficial for pregnant women. It can help manage weight gain, improve mood and energy levels, and reduce pregnancy discomfort. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy as long as the woman feels comfortable and her healthcare provider has not indicated otherwise.
Choice B rationale
Activities that elevate body temperature, such as saunas and hot tubs, are not recommended during pregnancy. High body temperatures can be harmful to the fetus, especially during the first trimester.
Choice C rationale
Exercise during pregnancy is generally recommended unless there are specific health concerns or complications that make it unsafe. It’s always important for pregnant women to consult with their healthcare provider before starting or continuing an exercise regimen.
Choice D rationale
While stretching activities can be a part of a balanced exercise routine during pregnancy, they should not be the only form of exercise. A combination of aerobic and strength-conditioning exercises is typically recommended.
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