A woman who is 38 weeks pregnant reports feeling dizzy when lying on her back. What does the nurse explain as the most likely cause of this symptom?
Supine hypotension syndrome
Pregnancy-induced hypotension
Anxiety
Hypoglycemia
The Correct Answer is A
A. Supine hypotension syndrome occurs when the gravid uterus compresses the inferior vena cava when the woman is lying flat on her back, leading to decreased venous return, lowered cardiac output, and a drop in blood pressure. This can cause dizziness, lightheadedness, and sometimes fainting. It is more common in the later stages of pregnancy, such as at 38 weeks.
B. Pregnancy-induced hypotension refers to a decrease in blood pressure due to pregnancy, but it typically does not occur specifically when lying on the back, and is not the main cause of dizziness when positioned in that way.
C. Anxiety can cause dizziness, but it is not the most likely cause of dizziness related to lying flat on the back, especially in late pregnancy.
D. Hypoglycemia can cause dizziness, but it is not typically triggered by a change in position like lying on the back, making it less likely in this scenario.
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Related Questions
Correct Answer is A
Explanation
A. Psychological disorders may occur due to the impact on the client's quality of life is correct. Hyperemesis gravidarum can have a significant psychological impact on the client, leading to mental health issues such as depression, anxiety, and stress due to the prolonged discomfort and inability to perform daily activities.
B. Persistent nausea and vomiting are expected during the first trimester is inaccurate. While mild nausea and vomiting (morning sickness) is common during the first trimester, hyperemesis gravidarum involves severe nausea and vomiting that extends beyond the normal range and can occur at any point in pregnancy.
C. Clients who have hyperemesis gravidarum may seek care early in their pregnancy is not always true. Some clients may delay seeking care, thinking it’s normal pregnancy discomfort, while others may seek help immediately due to the severity of their symptoms.
D. Measures can be taken to prevent this disease from occurring is not correct. There are no known methods to prevent hyperemesis gravidarum, although some risk factors may increase the likelihood of developing it, such as high hCG levels or carrying multiples.
Correct Answer is A
Explanation
A. There is no safe level of alcohol consumption during pregnancy. This is the correct statement. Alcohol consumption during pregnancy can lead to fetal alcohol spectrum disorders (FASD), and there is no known safe threshold for alcohol use during pregnancy.
B. Consuming one to two alcoholic beverages per day during pregnancy is not safe and could lead to fetal harm. There is no safe amount of alcohol consumption during pregnancy.
C. Drinking alcohol at any time during pregnancy is risky and can lead to serious complications for the fetus, even after the first trimester.
D. There is a clear and established link between maternal alcohol consumption and developmental and cognitive delays in the child. Therefore, this statement is inaccurate.
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