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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 ["A","E"]

Explanation

Choice B rationale: Breast tenderness is a common symptom of early pregnancy caused by hormonal changes. It generally does not require further investigation unless there are additional concerning signs like lumps or discharge from the nipples.

Choice C rationale: Nausea is another common symptom of early pregnancy due to increased levels of human chorionic gonadotropin (HCG). It is expected and usually does not require further investigation unless it becomes severe and leads to dehydration.

Choice D rationale: Fatigue is a typical symptom in early pregnancy, often due to hormonal changes and increased blood production. It generally does not require further investigation unless accompanied by other symptoms like severe anemia or thyroid dysfunction.

Choice E rationale: Burning with urination is a symptom of a urinary tract infection (UTI) or sexually transmitted infection (STI). Further investigation is necessary to identify the cause and provide appropriate treatment to prevent complications.

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

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?

Correct Answer is ["A","E"]

Explanation

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

Correct Answer is D

Explanation

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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.