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 A

Explanation

Choice A rationale

Rh(D) immunoglobulin prevents the formation of Rh antibodies in Rh-negative mothers. This is crucial to prevent Rh sensitization, which can lead to hemolytic disease of the newborn in current and future pregnancies.

Choice B rationale

Rh(D) immunoglobulin does not prevent the formation of Rh antibodies in newborns who are Rh positive. Instead, it works by preventing the mother's immune system from recognizing Rh-positive fetal cells.

Choice C rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in Rh-negative mothers. Its purpose is to prevent the formation of these antibodies in the first place.

Choice D rationale

Rh(D) immunoglobulin does not destroy Rh antibodies in newborns who are Rh positive. The newborn's immune system is not targeted by this immunoglobulin.

Correct Answer is ["July 27"]

Explanation

Step 1 is to identify the first day of the last menstrual period (LMP), which is October 20.

Step 2 is to count back 3 months from October 20, resulting in July 20.

Step 3 is to add 1 year to July 20, resulting in July 20 of the following year.

Step 4 is to add 7 days to July 20, resulting in July 27.

Final calculated answer: July 27 of the following year.

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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 nurse is teaching a client who is 26 weeks pregnant and will be receiving an injection of Rh(D) immunoglobulin.Which of the following should be included in the teaching?

Correct Answer is A

Explanation

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format: "October 20"

Correct Answer is ["July 27"]

Explanation

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