A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy. Which of the following client statements indicates understanding of the teaching?
“If I develop striae gravidarum, I need to call my provider immediately.”.
“My nipples and areola will become pale as my breasts enlarge.”.
“I should begin to recognize fetal movement by 10 weeks gestation.”.
“Some nausea and vomiting is normal, but I should call my provider if I am unable to keep food or water down.”. .
The Correct Answer is D
Choice A rationale
Striae gravidarum, or stretch marks, are a common occurrence during pregnancy due to the rapid stretching of the skin. They are not a medical emergency and do not require immediate attention from a healthcare provider.
Choice B rationale
During pregnancy, the nipples and areola typically become darker, not paler, as the breasts enlarge. This change is due to hormonal influences and increased blood flow to the area.
Choice C rationale
Fetal movement, also known as quickening, is usually felt by the mother between 18 to 25 weeks of gestation, not as early as 10 weeks. At 10 weeks, the fetus is still too small for its movements to be felt by the mother.
Choice D rationale
Some nausea and vomiting, known as morning sickness, is normal during pregnancy. However, if a pregnant woman is unable to keep food or water down, it is important to contact a healthcare provider to ensure she and the baby are receiving adequate nutrition and hydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The uterus can indeed increase in size by 20 times its non-pregnant size. This significant expansion is necessary to accommodate the growing fetus and the increased blood supply required during pregnancy.
Choice B rationale
While the weight of the uterus does increase significantly during pregnancy, from about 100 grams to approximately 1,000 grams, this statement does not directly address the client’s concern about the uterus’s ability to stretch.
Choice C rationale
About 25% of the increased capacity of the uterus is related to uteroplacental content, but this does not fully explain the uterus’s ability to stretch to accommodate a full-term baby.
Choice D rationale
The increase in uterus size during pregnancy is not solely related to amniotic fluid volume. The uterus itself grows and stretches significantly to accommodate the developing fetus.
Correct Answer is B
Explanation
Choice A rationale
Not providing resources immediately may leave the patient feeling unsupported and isolated. It is important to offer resources and support to help the patient cope with the emotional and psychological impact of terminating a pregnancy due to a genetic abnormality.
Choice B rationale
Discussing the stages of grief is an appropriate nursing action. It helps the patient understand that their feelings are normal and provides a framework for processing their emotions. This support can be crucial in helping the patient navigate their grief and begin the healing process.
Choice C rationale
Encouraging the patient to rethink their decision is not appropriate. The decision to terminate a pregnancy due to a genetic abnormality is often difficult and deeply personal. It is important to respect the patient’s decision and provide support rather than questioning their choice.
Choice D rationale
Encouraging the couple not to share their emotions with each other can be harmful. Open communication between partners is essential for mutual support and understanding during such a challenging time. Encouraging them to share their feelings can strengthen their relationship and help them cope with the loss together.
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