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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 ["0503"]

Explanation

The correct answer is 0503.

A. Amniocentesis may be used to assess if you have preeclampsia. B. A non-stress test may be used to measure fetal heart rate. C. Chorionic villus sampling may be done to assess for neural tube defects. D. You may need to fill up your bladder prior to an ultrasound. E. Oral Glucose tolerance testing will measure fetal activity at certain intervals.

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

Explanation

Choice A rationale

Amniocentesis assesses fetal lung maturity, genetic disorders, and infections, not preeclampsia. Preeclampsia diagnosis involves blood pressure, proteinuria, and other lab tests. Normal blood pressure: <120/80 mm Hg. Proteinuria: >300 mg/day.

Choice B rationale

A non-stress test measures fetal heart rate response to movements, evaluating fetal well-being. Normal fetal heart rate: 110-160 bpm. Accelerations: 15 bpm increase for at least 15 seconds.

Choice C rationale

Chorionic villus sampling assesses chromosomal abnormalities, genetic disorders, not neural tube defects. Neural tube defect screening: maternal serum alpha-fetoprotein levels, ultrasound. Normal alpha-fetoprotein: 0.5-2.5 MoM.

Choice D rationale

A full bladder helps lift the uterus for better visualization during ultrasound, especially in early pregnancy. This improves image quality for assessing fetal development and other structures.

Choice E rationale

Oral glucose tolerance test assesses gestational diabetes by measuring blood glucose levels, not fetal activity. Normal fasting blood glucose: <95 mg/dL. 1-hour post-glucose: <180 mg/dL.

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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

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .

Correct Answer is ["0503"]

Explanation

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

Explanation

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