The nurse is educating a client about home management in the third trimester of pregnancy.
Which statement by the client indicates an understanding of the education?
I will notify the provider if my baby is moving less frequently.
I will have more energy now that I am nearing the end.
I should be able to eat more without problems.
I should lower my legs to improve blood return.
The Correct Answer is A
Third-trimester education focuses on recognizing danger signs and managing late-pregnancy physiology. Knowledge of fetal movement monitoring, energy conservation, and venous return mechanisms is necessary to evaluate the client’s understanding of safety and self-care during the final stages of gestation.
Choice A rationale
Fetal movement is an excellent indicator of fetal health and placental function. A decrease in movement can signal fetal compromise. Clients are taught to report these changes immediately to facilitate urgent diagnostic testing and ensure fetal safety.
Choice B rationale
Fatigue usually increases during the third trimester due to weight gain, sleep disturbances, and the physical demands of the growing fetus. Expecting more energy is an incorrect understanding of the typical physiological progression toward the end of pregnancy.
Choice C rationale
The growing uterus compresses the stomach in the third trimester, leading to smaller stomach capacity and frequent heartburn. Clients should eat smaller, more frequent meals rather than increasing the volume of food consumed at once.
Choice D rationale
Lowering the legs increases venous stasis and edema in the lower extremities. To improve blood return and reduce swelling, clients should elevate their legs above the level of the heart to facilitate gravity-assisted venous drainage to the heart.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Fertility treatments require precise education on procedural mechanics and expectations. Knowledge of intrauterine insemination versus in vitro fertilization must be applied to clarify the route of sperm delivery, patient comfort levels, and the statistical likelihood of success for the couple.
Choice A rationale
Artificial insemination is a minimally invasive procedure and does not involve abdominal needle insertion. Unlike oocyte retrieval for in vitro fertilization, it is performed vaginally and typically involves only mild cramping, requiring no significant numbing or general anesthesia.
Choice B rationale
Intrauterine insemination involves placing a speculum to visualize the cervix, allowing a catheter to bypass the cervical mucus. This delivers concentrated sperm directly into the uterus, increasing the chance of fertilization when sperm counts are low.
Choice C rationale
Using a laboratory-fertilized embryo describes in vitro fertilization with embryo transfer, not artificial insemination. Insemination involves the introduction of sperm into the female reproductive tract to allow for natural fertilization to occur within the fallopian tubes.
Choice D rationale
Success rates for artificial insemination vary and often require multiple cycles. Claiming it will only need to be performed once is misleading, as the average success rate per cycle is approximately 10 to 20 percent.
Correct Answer is A
Explanation
This scenario requires an understanding of magnesium sulfate toxicity and preeclampsia monitoring. Knowledge of renal function and neuromuscular irritability is essential to differentiate between therapeutic magnesium levels, normal physiological states, and life-threatening signs of hypermagnesemia or central nervous system depression.
Choice A rationale
Normal urine output exceeds 30 mL per hour, reflecting adequate renal perfusion and successful clearance of toxins. Deep tendon reflexes of 2 plus are considered an expected, normal clinical finding, indicating healthy neuromuscular communication and central nervous system balance.
Choice B rationale
Decreased urine output suggests renal insufficiency, potentially leading to magnesium accumulation. Brisk 4 plus reflexes signify neuromuscular irritability or hyperreflexia, which is a common finding in severe preeclampsia or impending eclampsia, requiring immediate medical intervention and blood pressure management.
Choice C rationale
Absent deep tendon reflexes of 0 are a classic sign of magnesium toxicity, where the cation blocks neuromuscular transmission. Increased urine output is atypical in toxicity scenarios, but absent reflexes mandate the immediate cessation of magnesium sulfate infusions.
Choice D rationale
Diminished 1 plus reflexes indicate slight sluggishness in the neuromuscular response. Stable urine output is positive, but any reduction in reflex response from baseline during magnesium therapy requires close monitoring to ensure the client is not progressing toward toxicity.
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