A nurse is reinforcing teaching with a client who is pregnant about expected changes related to pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
It’s normal to have a white vaginal discharge.
I should recognize fetal movement by 12 weeks.
My nipples and areola will become pale as my breasts enlarge.
The fundus is responsible for the swelling in my ankles.
The Correct Answer is A
Choice A rationale:
It’s normal to have a white vaginal discharge during pregnancy. This is due to increased estrogen levels, which stimulate the production of cervical mucus. The mucus is typically white or clear, and has a mild odor. It helps to maintain a healthy vaginal environment and protect against infection.
Increased vaginal discharge is one of the earliest signs of pregnancy, and it typically continues throughout the pregnancy. While it may be bothersome at times, it is not a cause for concern unless it has a strong odor, is yellow or green in color, or is accompanied by itching or burning.
It is important for pregnant women to keep the vaginal area clean and dry to prevent infection. This can be done by wearing cotton underwear, avoiding tight-fitting clothing, and showering or bathing regularly.
Choice B rationale:
Most women do not recognize fetal movement until 16 to 22 weeks of pregnancy. This is because the fetus is still very small and its movements are not strong enough to be felt.
Some women may feel fluttering or "butterflies" in their abdomen as early as 12 weeks, but this is not always a reliable indication of fetal movement. It is more likely to be caused by gas or intestinal activity.
Choice C rationale:
The nipples and areola typically become darker, not paler, during pregnancy. This is due to increased levels of melanin, a pigment that is also responsible for skin color.
The darkening of the nipples and areola may be more pronounced in women with darker skin.
Choice D rationale:
The fundus is the top of the uterus. It does not cause swelling in the ankles.
Swelling in the ankles is a common symptom of pregnancy, especially in the third trimester. It is caused by a combination of factors, including increased blood volume, fluid retention, and pressure from the growing uterus on the veins in the legs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Condition
- A. Preeclampsia is the most likely condition the client is experiencing given the following:
- History of gestational diabetes and mild hypertension.
- Recent elevation in blood pressure.
- Preeclampsia is characterized by high blood pressure and can be associated with kidney involvement, as suggested by the increased blood pressure.
Actions
-
Administer prescribed antihypertensive medication: This is crucial for managing preeclampsia, as it helps lower blood pressure and prevent complications.
-
Monitor blood pressure and urine protein levels regularly: Essential for assessing the progression of preeclampsia and guiding treatment decisions. Monitoring helps track whether the condition is worsening or responding to treatment.
Parameters to Monitor
-
Blood pressure readings: These are directly related to the severity of preeclampsia and help assess if the treatment is effective.
-
Level of protein in urine: Elevated protein levels indicate kidney involvement, which is a common complication of preeclampsia.
Correct Answer is A
Explanation
Choice A rationale:
It’s normal to have a white vaginal discharge during pregnancy. This is due to increased estrogen levels, which stimulate the production of cervical mucus. The mucus is typically white or clear, and has a mild odor. It helps to maintain a healthy vaginal environment and protect against infection.
Increased vaginal discharge is one of the earliest signs of pregnancy, and it typically continues throughout the pregnancy. While it may be bothersome at times, it is not a cause for concern unless it has a strong odor, is yellow or green in color, or is accompanied by itching or burning.
It is important for pregnant women to keep the vaginal area clean and dry to prevent infection. This can be done by wearing cotton underwear, avoiding tight-fitting clothing, and showering or bathing regularly.
Choice B rationale:
Most women do not recognize fetal movement until 16 to 22 weeks of pregnancy. This is because the fetus is still very small and its movements are not strong enough to be felt.
Some women may feel fluttering or "butterflies" in their abdomen as early as 12 weeks, but this is not always a reliable indication of fetal movement. It is more likely to be caused by gas or intestinal activity.
Choice C rationale:
The nipples and areola typically become darker, not paler, during pregnancy. This is due to increased levels of melanin, a pigment that is also responsible for skin color.
The darkening of the nipples and areola may be more pronounced in women with darker skin.
Choice D rationale:
The fundus is the top of the uterus. It does not cause swelling in the ankles.
Swelling in the ankles is a common symptom of pregnancy, especially in the third trimester. It is caused by a combination of factors, including increased blood volume, fluid retention, and pressure from the growing uterus on the veins in the legs.
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