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A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

Slower satiety.

Nausea.

Vomiting.

Constipation.

Urinary frequency.

Nocturia.

Answer and Explanation

Correct Answer : B,C,D,E,F

Choice A rationale

Pregnancy generally leads to slower gastric emptying due to increased progesterone, but satiety is not directly slowed.

Choice B rationale

Increased progesterone levels during pregnancy slow gastric motility, leading to nausea, especially in the first trimester.

Choice C rationale

Vomiting is also common due to hormonal changes, specifically elevated human chorionic gonadotropin (hCG) levels.

Choice D rationale

Constipation occurs because increased progesterone reduces bowel motility and increases water absorption in the colon.

Choice E rationale

The growing uterus places pressure on the bladder, leading to increased urinary frequency.

Choice F rationale

Nocturia occurs as the kidneys filter more blood and the uterus compresses the bladder, especially in later stages of pregnancy.

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Correct Answer is ["B","D","F"]

Explanation

Choice A rationale: Supplementing with formula is not always necessary for weight loss in newborns, as initial weight loss is typical. Regular breastfeeding usually suffices to regain birth weight, barring any medical issues. Overusing formula can impact breastfeeding success.

Choice B rationale: Newborns should be fed 8 to 12 times per day to ensure adequate nutrition and promote milk production. Frequent feeding also helps prevent engorgement and establishes a good breastfeeding routine, essential for both mother and baby.

Choice C rationale: Plastic-lined breast pads can trap moisture, which might exacerbate sore nipples. Using breathable, cotton pads is better for promoting healing and preventing infections. Proper latch techniques and frequent position changes are also vital for nipple comfort.

Choice D rationale: Meconium stools transition to yellow, seedy stools within a few days as the baby's digestion adjusts to milk intake. This stool color change is a sign that the baby is feeding well and effectively digesting breast milk.

Choice E rationale: While staying hydrated is essential for overall health, water intake alone does not directly increase milk supply. Milk production is primarily influenced by frequent and effective breastfeeding or pumping. Adequate nutrition and rest are also important.

Choice F rationale: When milk "comes in," typically between days 2 to 5 postpartum, breasts may become firmer, warmer, and more tender due to increased blood flow and milk production. This is a normal physiological response indicating a healthy lactation process.

A. Ballottement. B. Goodell’s sign. C. Lightening. D. Chadwick’s sign.

Correct Answer is A

Explanation

Choice A rationale

Ballottement refers to the movement of the fetus felt by the provider when pushing on the cervix, causing the fetus to rise and then return to its original position. This is a probable sign of pregnancy.

Choice B rationale

Goodell’s sign refers to the softening of the cervix, which occurs due to increased vascularization during pregnancy. It is not related to the movement of the fetus felt by the provider.

Choice C rationale

Lightening refers to the sensation of the fetus moving down into the pelvis, usually occurring in the later stages of pregnancy. It is not related to the specific movement of the fetus felt by the provider.

Choice D rationale

Chadwick’s sign is the bluish discoloration of the cervix, vagina, and labia due to increased blood flow during pregnancy. It is not associated with the movement of the fetus felt by the provider.

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A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","F"]

Explanation

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?

Correct Answer is A

Explanation

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A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?