During the third trimester of pregnancy, the nurse knows that the client may be experiencing which of the following common symptoms?

Heartburn and quickening.

Nausea and vomiting.

Stuffy nose and bleeding gums.

Constipation and hemorrhoids.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Heartburn is common due to the relaxation of the lower esophageal sphincter caused by progesterone, but quickening (the first movement of the fetus felt by the mother) typically occurs earlier in pregnancy, around 18-20 weeks.

Choice B rationale

Nausea and vomiting are more common in the first trimester due to hormonal changes, particularly increased levels of hCG. These symptoms often decrease as pregnancy progresses.

Choice C rationale

A stuffy nose and bleeding gums can occur due to increased blood volume and hormonal changes affecting mucous membranes, but these are more noticeable in the earlier stages of pregnancy.

Choice D rationale

Constipation and hemorrhoids are common in the third trimester. The growing uterus can put pressure on the rectum and intestines, slowing down bowel movements and increasing the risk of hemorrhoids.

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Correct Answer is C

Explanation

Choice A rationale

Avoiding foods with strong aromas can help reduce nausea, as certain smells can trigger the sensation. This strategy is usually effective because olfactory stimuli can have a significant impact on nausea and vomiting during pregnancy.

Choice B rationale

Eating crackers or plain toast in the morning can help manage nausea by stabilizing blood sugar levels before getting out of bed. This simple carbohydrate source can provide quick energy and prevent morning sickness.

Choice C rationale

Drinking a glass of orange juice before getting out of bed is not recommended, as the acidity of the juice can irritate the stomach lining and exacerbate nausea. It is better to have bland, non-acidic foods first.

Choice D rationale

Eating a high-carbohydrate snack before going to sleep can help maintain stable blood sugar levels overnight, potentially reducing morning nausea. Carbohydrates are effective in providing sustained energy and preventing dips in glucose that can trigger nausea.

A. Blood is returning to the right atrium from the pulmonary system. B. Blood is returning to the placenta via the umbilical arteries. C. Blood is being shunted to the right side from the left side of the heart. D. A right to left shunt is seen between the umbilical arteries.

Correct Answer is B

Explanation

Choice A rationale

Blood returning to the right atrium from the pulmonary system is consistent with adult circulation, not fetal circulation. In fetal circulation, blood bypasses the lungs via the ductus arteriosus and foramen ovale since the fetus receives oxygenated blood from the placenta, not the lungs.

Choice B rationale

Blood is returning to the placenta via the umbilical arteries. In fetal circulation, deoxygenated blood is carried from the fetus to the placenta through the umbilical arteries. This is consistent with normal fetal circulation as the placenta is responsible for gas exchange.

Choice C rationale

Blood being shunted to the right side from the left side of the heart is incorrect. In fetal circulation, there is a right-to-left shunt through the foramen ovale, allowing blood to bypass the non-functioning fetal lungs and go directly into systemic circulation.

Choice D rationale

A right-to-left shunt is not seen between the umbilical arteries. Instead, the shunts in fetal circulation are the ductus venosus, ductus arteriosus, and foramen ovale, which help reroute blood away from the fetal lungs and liver.

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During the third trimester of pregnancy, the nurse knows that the client may be experiencing which of the following common symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

Correct Answer is C

Explanation

After having an ultrasound, the fetus' heart shows that "normal fetal circulation is occurring.”. The RN is teaching a pregnant client about normal fetal circulation.Which of the following statements is consistent with the finding?

Correct Answer is B

Explanation

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