The nurse knows that a normal physiologic alteration of the circulatory system associated with thromboembolic events in pregnancy is:
Increased fibrinogen and decreased fibrinolysis.
Increased blood volume and increased cardiac output.
Decreased hematocrit and increased red blood cell level (RBC).
Decreased blood pressure and decreased hemoglobin.
The Correct Answer is A
Choice A rationale
During pregnancy, there is an increase in fibrinogen and a decrease in fibrinolysis. These changes increase the risk of thromboembolic events, as they promote clot formation.
Choice B rationale
Increased blood volume and cardiac output are normal in pregnancy but do not directly increase the risk of thromboembolic events. They are adaptations to meet the increased metabolic demands.
Choice C rationale
Decreased hematocrit and increased RBC levels are typical in pregnancy but are related to the physiological dilution of blood, not thromboembolic risks.
Choice D rationale
Decreased blood pressure and hemoglobin are common in pregnancy due to increased blood volume but are not associated with increased thromboembolic risks. .
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Limiting exercise to low-impact aerobics is safe and suitable for pregnant women.
Choice B rationale
Swimming is considered a safe and beneficial exercise during pregnancy.
Choice C rationale
Walking is a recommended form of exercise for pregnant women.
Choice D rationale
Sitting in a sauna is not advised during pregnancy due to risks of overheating and dehydration. .
Correct Answer is D
Explanation
Choice A rationale
During pregnancy, the body’s production of red blood cells usually increases to meet the increased demands of the growing fetus. Therefore, a drop in hematocrit is not typically due to insufficient red blood cell production.
Choice B rationale
While iron is essential during pregnancy, a reduction in hematocrit levels at 16 weeks' gestation is primarily due to increased plasma volume, rather than iron deficiency. Nutritional counseling may still be beneficial but isn't the primary explanation for this change.
Choice C rationale
A hematocrit level of 34% at 16 weeks is generally not considered indicative of a severe problem. Instead, it is a physiological response to increased plasma volume, known as dilutional anemia of pregnancy.
Choice D rationale
The primary reason for a lower hematocrit count during pregnancy is the increase in blood plasma volume, leading to dilutional anemia. This is a normal adaptation to pregnancy that ensures adequate blood flow to the fetus.
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