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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 D

Explanation

Choice A rationale

The type of contraceptive used is not directly relevant for a hysterosalpingogram test. The test focuses on the structure and patency of the uterine cavity and fallopian tubes, not contraceptive history.

Choice B rationale

While the number of past pregnancies might be clinically relevant, it does not directly impact the hysterosalpingogram procedure. This test is typically used to evaluate tubal patency and uterine abnormalities regardless of pregnancy history.

Choice C rationale

The patient's age of menarche is not pertinent to a hysterosalpingogram test. Menarche age relates more to puberty and menstrual cycle history, which are not focal points of this imaging procedure.

Choice D rationale

Iodine allergy is crucial to identify before a hysterosalpingogram, as the procedure often involves the use of an iodine-based contrast dye. Identifying allergies helps prevent potential allergic reactions to the dye.

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

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

Correct Answer is D

Explanation

The nurse is teaching parents about antepartum testing. Which statements should the nurse include?

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

Explanation

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