During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain.
Which statement by a class member would indicate the need for additional instruction?

“I will begin to practice pelvic tilt exercises.”.

“I will wear shoes with low heels when I go to work.”.

“I will sleep on my side with a pillow beneath my knees.”.

“I will lean slightly backwards when I walk.”.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Leaning slightly backwards when walking can increase the curvature of the lower spine and worsen back pain.

The other choices are helpful methods to alleviate back pain during pregnancy.

Choice A is correct because pelvic tilt exercises can strengthen the abdominal muscles and reduce the strain on the lower back.

Choice B is correct because wearing shoes with low heels can improve posture and balance and prevent excessive arching of the lower back.

Choice C is correct because sleeping on the side with a pillow beneath the knees can support the spine and pelvis and relieve pressure on the lower back.

Normal ranges for back pain during pregnancy vary depending on the individual, but some common factors that can affect it are weight gain, hormonal changes, center of gravity shift, stress and muscle separation.

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Correct Answer is D

Explanation

The correct answer is choice D. Rest on your side as much as possible.This is because resting on the side can improve blood flow to the placenta and lower blood pressure.It can also reduce the risk of supine hypotensive syndrome, which occurs when the weight of the uterus compresses the inferior vena cava and reduces venous return.

Choice A is wrong because spicy foods have no effect on blood pressure or pregnancy outcomes.Choice B is wrong because limiting fluid intake can lead to dehydration and increase blood viscosity, which can worsen hypertension.Choice C is wrong because urinating frequently does not lower blood pressure or prevent complications of pregnancy-induced hypertension.

Pregnancy-induced hypertension (PIH) is a condition that causes high blood pressure during pregnancy.It can lead to serious problems for both the mother and the baby, such as pre-eclampsia, eclampsia, placental abruption, fetal growth restriction, and stillbirth.

Women with PIH should follow their doctor’s advice on medication, diet, exercise, and monitoring.They should also report any symptoms of pre-eclampsia, such as severe headache, blurred vision, abdominal pain, or swelling.

A. Insulin amount needs will remain stable during the third trimester. B. Insulin amount needs will continue to increase throughout the second and third trimesters. C. Insulin amount needs will decrease during the third trimester. D. Insulin amount needs will remain stable for the rest of the second and during the third trimesters.

Correct Answer is B

Explanation

The correct answer is choice B. Insulin amount needs will continue to increase throughout the second and third trimesters.This is because gestational diabetes is a form of diabetes that develops during pregnancy, usually during the 2nd or 3rd trimester.It is caused by hormonal changes that interfere with the action of insulin, leading to high blood sugar levels.As the pregnancy progresses, the placenta produces more hormones that increase insulin resistance, so the mother needs more insulin to keep her blood sugar within normal range.

Choice A is wrong because insulin amount needs will not remain stable during the third trimester.They will increase as the placenta grows and produces more hormones that cause insulin resistance.

Choice C is wrong because insulin amount needs will not decrease during the third trimester.They will increase as the placenta grows and produces more hormones that cause insulin resistance.

Choice D is wrong because insulin amount needs will not remain stable for the rest of the second and during the third trimesters.They will increase as the pregnancy progresses and the placenta produces more hormones that increase insulin resistance.

Normal ranges for blood sugar during pregnancy are: fasting < 95 mg/dL, 1 hour after meal < 140 mg/dL, 2 hours after meal < 120 mg/dL.

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During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain. Which statement by a class member would indicate the need for additional instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is 34 weeks pregnant attends the antepartal clinic and is diagnosed with mild pregnancy-induced hypertension (PIH). The decision is made to treat the patient at home. Which instruction would be most appropriate to give to the patient?

Correct Answer is D

Explanation

A patient who is 26 weeks pregnant has gestational diabetes and is to begin insulin management. When discussing the patient’s insulin needs, which information should the nurse include?

Correct Answer is B

Explanation

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During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain.
Which statement by a class member would indicate the need for additional instruction?