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7 Cards in this Set

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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.
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.
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.
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.
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.
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.
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.