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7 Cards in this Set
- Front
- Back
The nurse recognizes that an expected change in the hematologic system that occurs during the second trimester of pregnancy is:
1. A decrease in WBC's 2. An increase in hematocrit 3. An increase in blood volume 4. A decrease in sedimentation rate |
3 The blood volume increases by approximatley 50% during pregnancy. Peak blood volume occurs between 30 and 34 weeks of gestation.
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The nurse is aware that an adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal mucosa, which is known as:
1. Ladin's sign 2. Hegar's sign 3. Goodell's sign 4. Chadwick's sign |
4 A purplish color results from the increased vascularity and blood vessel engorgement of the vagina.
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Physiologic anemia during pregnancy is a result of:
1. Decreased dietary intake of iron 2. Increased plasma volume of the mother 3. Decreased erythropoiesis after the first trimester 4. Increased detoxification demands on the mother's liver |
2 There is a 30% to 50% increase in maternal plasma volume at the end of the first trimester, leading to a decrease in the concentration of hemoglobin and erythrocytes.
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A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and a 7-year old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client is:
1. G4 T3 P2 A1 L4 2. G5 T2 P2 A1 L4 3. G5 T2 P1 A1 L4 4. G4 T3 P1 A1 L4 |
3 The correct format would be G5 T2 P1 A1 L4- 5 pregnancies; 2 term births; twins count as 1; 1 abortion; 4 living children.
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An expected cartiopulmonary adaptation exprienced by most pregnant women is:
1. Tachycardia 2. Dyspnea at rest 3. Progressive dependent edema 4. Shortness of breath on exertion |
4 This is an expected cardiopulmonary adaptation during pregnancy; it is caused by an increased ventricular rate and elevated diaphragm.
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A client who is 10 weeks' pregnant calls the clinic and complains of morning sickness. To promote relief, the nurse should suggest:
1. Eating dry crackers before arising 2. Increasing her fat intake before bedtime 3. Having two small meals daily and a snack at noon 4. Drinking more high-carbohydrate fluids with her meals |
1 Nausea and vomiting in the morning occur in almost 50% of all pregnancies. Eating dry crackers before getting out of bed in the morning is a simple remedy that may provide relief.
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The nurse can attempt to help a pregnant client overcome first-trimester morning sickness by suggesting that the client:
1. Eat protein before bedtime 2. Take an antacid before breakfast 3. Eat nothing until the nausea subsides 4. Request her care provider to prescribe an antiemetic |
1 Nausea and vomitting of pregnancy can be relieved with small snacks of protein before bedtime to slow digestion; presently SeaBands (normally used for seasickness) are being used successfully by some women.
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