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A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes.

Order from the first in appearance to last.

Amenorrhea.

Goodell’s sign.

Quickening.

Lightening.

Answer and Explanation

The Correct Answer is A,B,C,D

The correct sequence of maternal changes from first to last is:

Amenorrhea (A) – This is usually the first sign of pregnancy, occurring due to increased progesterone levels and the absence of a menstrual period.
Goodell’s sign (B) – This refers to the softening of the cervix, which typically occurs around 6-8 weeks of pregnancy due to increased vascularization.
Quickening (C) – This is the first perception of fetal movement by the mother, usually felt between 16-20 weeks of pregnancy.
Lightening (D) – This occurs late in pregnancy (around 37-40 weeks) when the fetus descends into the pelvis in preparation for birth.

So, the correct order is:
A → B → C → D.

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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. The ductus arteriosus helps connect the umbilical artery to the inferior vena cava. B. The ductus arteriosus only carries oxygenated blood from the left side of the heart to the right side. C. The ductus arteriosus is found between the right and left atrium. D. In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus.

Correct Answer is D

Explanation

Choice A rationale

The ductus arteriosus does not connect the umbilical artery to the inferior vena cava. It connects the pulmonary artery to the aorta, bypassing the lungs in fetal circulation.

Choice B rationale

The ductus arteriosus carries deoxygenated blood from the right side of the heart to the aorta. It does not carry oxygenated blood from the left side of the heart.

Choice C rationale

The ductus arteriosus is not located between the right and left atrium. It is a blood vessel connecting the pulmonary artery to the aorta in fetal circulation.

Choice D rationale

In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus. This allows blood to bypass the fetal lungs, which are not yet functional.

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A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

Which statement below accurately describes the role of the ductus arteriosus?

Correct Answer is D

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?

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

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A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

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A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes.

Order from the first in appearance to last.