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While the vital signs of a pregnant client in her third trimester are being assessed,
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the client complains of feeling faint, dizzy, and agitated. Which nursing interventio
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n is appropriate?
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a. Have the stand up and retake her blood pressure.
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b. Have client the client sit down and hold her arm in a dependent position.
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c. Have the client turn to her left side and recheck her blood pressure in 5 minutes.
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d. Have the client lie supine for 5 minutes and recheck her blood pressure on both a
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rms.
Blood pressure is affected by positions during pregnancy. The supine position ma
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y cause occlusion of the vena cava and descending aorta. Turning the pregnant wo
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man to a lateral recumbent position alleviates pressure on the blood vessels and qu
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ickly corrects supine hypotension. Pressures are significantly higher when the pati
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ent is standing. This would cause anincrease in systolic and diastolic pressures. Th
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e arm should be supported at the same level of the heart. The supine position may
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cause occlusion of the vena cava and descending aorta, creating hypotension.
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2
A pregnant client has come to the emergency department with complaints of nasal
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mcongestion and epistaxis. Which is the correct interpretation of these symptoms b
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y the health care provider?
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NUR 2513 Exam 1 Study Guide Questions and Answers
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,NUR 2513 Exam 1 Study Guide Questions and Answers
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a. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
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b.These conditions are abnormal. Refer the client to an ear, nose, and throat special
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ist.
c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion an
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d epistaxis are within normal limits.
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d. Estrogen causes increased blood supply to the mucous membranes and
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mcan result in congestion and nosebleeds.
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As capillaries become engorged, the upper respiratory tract is affected by the sub
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sequent edema and hyperemia, which causes these conditions, seen commonly du
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ring pregnancy. Progesterone is responsible for the heightened awareness of the n
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eed to breathe in pregnancy. Progesterone levels increase during pregnancy. The
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client should be reassured that these symptoms are within normal limits. No referr
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al is needed at this time. Relaxation of the smooth muscles in the respiratory tract
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mis affected by progesterone.
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3
NUR 2513 Exam 1 Study Guide Questions and Answers
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,NUR 2513 Exam 1 Study Guide Questions and Answers
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Which suggestion is appropriate for the pregnant client who is experiencing heartbu
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rn?
a. Drink plenty of fluids at bedtime.
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b. Eat only three meals a day so the stomach is empty between meals.
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c. Drink coffee or orange juice immediately on arising in the morning.
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d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
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Antacids high in calcium (e.g., Tums, Alkamints) can provide temporary relief.
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Fluids overstretch the stomach and may precipitate reflux when lying down. Inst
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ruct the woman to eat five or six small meals per day rather than three full meals.
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mCoffee and orange juice stimulate acid formation in the stomach.
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4
While providing education to a primiparous client regarding the normal changes of
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mpregnancy,what is important for the nurse to explain about Braxton Hicks contrac
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tions?
a. These contractions may indicate preterm labor.
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b.These are contractions that never cause any discomfort.
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c. Braxton Hicks contractions only start during the third trimester.
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d.These occur throughout pregnancy, but you may not feel them until the third trim
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ester.
NUR 2513 Exam 1 Study Guide Questions and Answers
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, NUR 2513 Exam 1 Study Guide Questions and Answers
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Throughout pregnancy, the uterus undergoes irregular contractions called Braxton
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Hicks contractions. During the first two trimesters, the contractions are infrequent
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and usually not felt by the woman until the third trimester. Braxton Hicks contract
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ions do not indicate preterm labor.Braxton Hicks contractions can cause some disc
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omfort, especially in the third trimester. Braxton Hicks contractions occur through
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out the whole pregnancy.
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5
What is the reason for vascular volume increasing by 40% to 60% during pregnanc
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y?
a. Prevents mmaternalmand mfetalmdehydration
b. Eliminates mmetabolicmwastes mofmthem
mother c. Provides adequate perfusion
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of the placenta
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d. Compensates for decreased renal plasma flow
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The primary function of increased vascular volume is to transport oxygen and nutr
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ients to the fetus via the placenta. Preventing maternal and fetal dehydration is not
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mthe primary reason for the
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NUR 2513 Exam 1 Study Guide Questions and Answers
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