Read scenario and select all that apply

Using clinical judgment, select the nursing actions you would prioritize in responding to this client's emotional state. (Select All that Apply.)

Schedule follow-up visits to monitor for signs of worsening emotional distress

Refer the client immediately to mental health services for evaluation and treatment.

Educate the client that ambivalence is common during early pregnancy and reassure her this is a normal part of adjustment.

Recommend journaling or other reflective activities to help the client process her emotions.

Advise the client to avoid discussing her concerns to reduce anxiety and focus on physical health.

Provide a supportive, nonjudgmental environment that encourages the client to express her feelings openly.

Answer and Explanation

Correct Answer : A,C,D,F

A. Schedule follow-up visits to monitor for signs of worsening emotional distress: Regular follow-up allows the nurse to assess for any progression from normal emotional adjustment to clinical depression or anxiety. Ongoing monitoring promotes early detection and timely intervention if the client’s emotional state deteriorates.

B. Refer the client immediately to mental health services for evaluation and treatment: Immediate referral is not necessary at this stage since the client denies depression and shows typical adjustment reactions. Supportive counseling and education are appropriate unless symptoms intensify or functional impairment develops.

C. Educate the client that ambivalence is common during early pregnancy and reassure her this is a normal part of adjustment: Providing education normalizes her feelings, reduces guilt, and promotes psychological adaptation. Understanding that mixed emotions are typical helps the client adjust to her new role with less anxiety.

D. Recommend journaling or other reflective activities to help the client process her emotions: Journaling or reflection encourages emotional expression and self-awareness. These activities can help the client clarify her thoughts, reduce stress, and enhance emotional coping during early pregnancy.

E. Advise the client to avoid discussing her concerns to reduce anxiety and focus on physical health: Discouraging emotional expression can heighten anxiety and lead to emotional suppression. Open communication is essential for psychological well-being and trust in the therapeutic relationship.

F. Provide a supportive, nonjudgmental environment that encourages the client to express her feelings openly: Establishing a safe and empathetic environment fosters trust and allows the client to share her experiences freely. Active listening and emotional validation are key to supporting healthy maternal adjustment.

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Correct Answer is B

Explanation

A. Striae gravidarum can appear in the second or third trimester, not exclusively in the third. Their severity is strongly influenced by genetic predisposition, hormonal changes, and the degree of skin stretching rather than fetal growth.

B. Striae gravidarum result from dermal tearing as the skin stretches beyond its elastic capacity. Hormones such as cortisol and estrogen reduce fibroblast activity and collagen strength, predisposing the skin to rupture and forming stretch marks.

C. Striae gravidarum are caused by autoimmune destruction of dermal tissue, commonly seen in There is no autoimmune mechanism involved in the development of striae. They are purely structural and hormonal changes in the skin rather than immune-mediated conditions.

D. Striae actually result from decreased dermal elasticity and collagen integrity. Estrogen and glucocorticoids impair collagen synthesis, leading to thinning and tearing of the dermal layer instead of thickening.

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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Read scenario and select all that apply Using clinical judgment, select the nursing actions you would prioritize in responding to this client's emotional state. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a pregnant client about striae gravidarum. Which statement best explains the pathophysiology and risk factors associated with the development of these skin changes during pregnancy?

Correct Answer is B

Explanation

Correct Answer is ["200"]

Explanation

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Read scenario and select all that apply

Using clinical judgment, select the nursing actions you would prioritize in responding to this client's emotional state. (Select All that Apply.)