A third-trimester pregnant client reports that her shoes no longer fit comfortably. She asks if it's normal for her feet to feel larger. Which of the following is the nurse's best response?
"It's normal for feet to increase in size during pregnancy due to ligament relaxation and arch flattening, and the change may be permanent."
"It's uncommon, but you may have developed a foot infection that's causing swelling and enlargement."
This is likely due to calcium loss from the bones, which can cause foot deformities during pregnancy."
"This may indicate poor fetal growth and should be reported to your provider immediately."
The Correct Answer is A
A. " Increased levels of relaxin and progesterone during pregnancy cause joint and ligament laxity, including in the feet. Combined with weight gain and fluid retention, this leads to arch flattening and mild, often permanent, foot size increase.
B. Foot infections typically present with localized redness, pain, and warmth rather than generalized foot enlargement. In this case, bilateral and gradual changes are physiological, not infectious.
C. Calcium loss from the bones does not cause enlargement or shape changes in the feet. Pregnancy-related calcium shifts mainly support fetal bone development and do not result in deformities or foot growth.
D. Foot swelling or enlargement is unrelated to fetal growth restriction. It reflects maternal musculoskeletal and circulatory changes, not a complication affecting fetal development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. " Increased levels of relaxin and progesterone during pregnancy cause joint and ligament laxity, including in the feet. Combined with weight gain and fluid retention, this leads to arch flattening and mild, often permanent, foot size increase.
B. Foot infections typically present with localized redness, pain, and warmth rather than generalized foot enlargement. In this case, bilateral and gradual changes are physiological, not infectious.
C. Calcium loss from the bones does not cause enlargement or shape changes in the feet. Pregnancy-related calcium shifts mainly support fetal bone development and do not result in deformities or foot growth.
D. Foot swelling or enlargement is unrelated to fetal growth restriction. It reflects maternal musculoskeletal and circulatory changes, not a complication affecting fetal development.
Correct Answer is ["200"]
Explanation
Pregnant women are advised to limit caffeine intake to less than 200 mg per day, which is roughly equivalent to one 12-ounce cup of coffee. Excessive caffeine crosses the placenta and may affect fetal growth and development, increasing the risk of miscarriage, intrauterine growth restriction, and low birth weight. Moderation helps minimize these risks while allowing limited consumption for those who regularly consume caffeine.
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