NUR2513-EXAM 1 MATERNAL-VEST 2
COMPLETE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW|
RASMUSSEN
COLLEGE
WHAT TO FIND IN THIS EXAM
QUESTIONS AND ANSWERS IN NCLEX- STYLE
VERIFIED ANSWERS BY EXPERTS
NEWEST UPDATED VERSION GRADE A+
QUESTIONS WITH MULTI CHOICES
ALL QUESTIONS WITH VERIFIED RATIONALES
VERSION A
While the vital signs of a pregnant client in her third trimester are being assessed,
the client complains of feeling faint, dizzy, and agitated. Which nursing
intervention is appropriate?
a. Have the stand up and retake her blood pressure.
b. Have client the client sit down and hold her arm in a dependent position.
c. Have the client turn to her left side and recheck her blood pressure in 5 minutes.
d. Have the client lie supine for 5 minutes and recheck her blood pressure on both
arms.
, Correct answer is:
c. Have the client turn to her left side and recheck her blood pressure in 5
minutes.
Rationale:
In the third trimester, pregnant clients are at risk for supine hypotensive syndrome,
which occurs when the gravid uterus compresses the inferior vena cava when lying
on the back, reducing venous return and causing dizziness, faintness, and agitation.
Turning the client to her left side relieves this pressure, improves circulation, and
stabilizes blood pressure. Sitting or lying supine can worsen symptoms. Holding the
arm in a dependent position or retaking blood pressure standing up are not
appropriate initial interventions.
DIF: Application
REF: Maternity Nursing
OBJ: Implement nursing interventions for complications in pregnancy
TOP: Nursing Process — Implementation
Blood pressure is affected by positions during pregnancy. The supine position may
cause occlusion of the vena cava and descending aorta. Turning the pregnant
woman to a lateral recumbent position alleviates pressure on the blood vessels and
quickly corrects supine hypotension. Pressures are significantly higher when the
patient is standing. This would cause an increase in systolic and diastolic pressures.
The arm should be supported at the same level of the heart. The supine position
may cause occlusion of the vena cava and descending aorta, creating hypotension.
2
A pregnant client has come to the emergency department with complaints of nasal
congestion and epistaxis. Which is the correct interpretation of these symptoms by
the health care provider?
a. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
b. These conditions are abnormal. Refer the client to an ear, nose, and throat
specialist.
c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and
epistaxis are within normal limits.
,d. Estrogen causes increased blood supply to the mucous membranes and can result
in congestion and nosebleeds.
Correct answer is:
d. Estrogen causes increased blood supply to the mucous membranes and can
result in congestion and nosebleeds.
Rationale:
During pregnancy, elevated estrogen levels increase vascularity and blood flow to
the mucous membranes of the nasal passages, which can cause nasal congestion
(rhinitis) and make the membranes more fragile, leading to epistaxis (nosebleeds).
This is a common and expected physiological change during pregnancy. Decreased
progesterone is not responsible for these symptoms. Referral to a specialist is not
necessary unless symptoms are severe or persistent.
DIF: Comprehension
REF: Maternity Nursing
OBJ: Explain common physiological changes during pregnancy
TOP: Nursing Process — Assessment
As capillaries become engorged, the upper respiratory tract is affected by the
subsequent edema and hyperemia, which causes these conditions, seen commonly
during pregnancy. Progesterone is responsible for the heightened awareness of the
need to breathe in pregnancy. Progesterone levels increase during pregnancy. The
client should be reassured that these symptoms are within normal limits. No
referral is needed at this time. Relaxation of the smooth muscles in the respiratory
tract is affected by progesterone.
3
, Which suggestion is appropriate for the pregnant client who is experiencing
heartburn?
a. Drink plenty of fluids at bedtime.
b. Eat only three meals a day so the stomach is empty between meals.
c. Drink coffee or orange juice immediately on arising in the morning.
d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
Correct answer is:
d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
Rationale:
Heartburn during pregnancy is common due to hormonal changes that relax the lower esophageal
sphincter and the pressure of the growing uterus on the stomach. Antacids like Tums or Alkamints
can safely neutralize stomach acid and provide relief when used as directed by a healthcare
provider. Drinking plenty of fluids at bedtime or consuming coffee/orange juice can worsen
heartburn. Eating smaller, more frequent meals rather than only three large meals is recommended
to reduce symptoms.
DIF: Application
REF: Maternity Nursing
OBJ: Identify safe interventions for common discomforts in pregnancy
TOP: Nursing Process — Implementation
Antacids high in calcium (e.g., Tums, Alkamints) can provide temporary relief.
Fluids overstretch the stomach and may precipitate reflux when lying down.
Instruct the woman to eat five or six small meals per day rather than three full
meals. Coffee and orange juice stimulate acid formation in the stomach.
4
While providing education to a primiparous client regarding the normal changes of
pregnancy, what is important for the nurse to explain about Braxton Hicks
contractions?
a. These contractions may indicate preterm labor.
b. These are contractions that never cause any discomfort.
c. Braxton Hicks contractions only start during the third trimester.
d. These occur throughout pregnancy, but you may not feel them until the third
trimester.
COMPLETE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW|
RASMUSSEN
COLLEGE
WHAT TO FIND IN THIS EXAM
QUESTIONS AND ANSWERS IN NCLEX- STYLE
VERIFIED ANSWERS BY EXPERTS
NEWEST UPDATED VERSION GRADE A+
QUESTIONS WITH MULTI CHOICES
ALL QUESTIONS WITH VERIFIED RATIONALES
VERSION A
While the vital signs of a pregnant client in her third trimester are being assessed,
the client complains of feeling faint, dizzy, and agitated. Which nursing
intervention is appropriate?
a. Have the stand up and retake her blood pressure.
b. Have client the client sit down and hold her arm in a dependent position.
c. Have the client turn to her left side and recheck her blood pressure in 5 minutes.
d. Have the client lie supine for 5 minutes and recheck her blood pressure on both
arms.
, Correct answer is:
c. Have the client turn to her left side and recheck her blood pressure in 5
minutes.
Rationale:
In the third trimester, pregnant clients are at risk for supine hypotensive syndrome,
which occurs when the gravid uterus compresses the inferior vena cava when lying
on the back, reducing venous return and causing dizziness, faintness, and agitation.
Turning the client to her left side relieves this pressure, improves circulation, and
stabilizes blood pressure. Sitting or lying supine can worsen symptoms. Holding the
arm in a dependent position or retaking blood pressure standing up are not
appropriate initial interventions.
DIF: Application
REF: Maternity Nursing
OBJ: Implement nursing interventions for complications in pregnancy
TOP: Nursing Process — Implementation
Blood pressure is affected by positions during pregnancy. The supine position may
cause occlusion of the vena cava and descending aorta. Turning the pregnant
woman to a lateral recumbent position alleviates pressure on the blood vessels and
quickly corrects supine hypotension. Pressures are significantly higher when the
patient is standing. This would cause an increase in systolic and diastolic pressures.
The arm should be supported at the same level of the heart. The supine position
may cause occlusion of the vena cava and descending aorta, creating hypotension.
2
A pregnant client has come to the emergency department with complaints of nasal
congestion and epistaxis. Which is the correct interpretation of these symptoms by
the health care provider?
a. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
b. These conditions are abnormal. Refer the client to an ear, nose, and throat
specialist.
c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and
epistaxis are within normal limits.
,d. Estrogen causes increased blood supply to the mucous membranes and can result
in congestion and nosebleeds.
Correct answer is:
d. Estrogen causes increased blood supply to the mucous membranes and can
result in congestion and nosebleeds.
Rationale:
During pregnancy, elevated estrogen levels increase vascularity and blood flow to
the mucous membranes of the nasal passages, which can cause nasal congestion
(rhinitis) and make the membranes more fragile, leading to epistaxis (nosebleeds).
This is a common and expected physiological change during pregnancy. Decreased
progesterone is not responsible for these symptoms. Referral to a specialist is not
necessary unless symptoms are severe or persistent.
DIF: Comprehension
REF: Maternity Nursing
OBJ: Explain common physiological changes during pregnancy
TOP: Nursing Process — Assessment
As capillaries become engorged, the upper respiratory tract is affected by the
subsequent edema and hyperemia, which causes these conditions, seen commonly
during pregnancy. Progesterone is responsible for the heightened awareness of the
need to breathe in pregnancy. Progesterone levels increase during pregnancy. The
client should be reassured that these symptoms are within normal limits. No
referral is needed at this time. Relaxation of the smooth muscles in the respiratory
tract is affected by progesterone.
3
, Which suggestion is appropriate for the pregnant client who is experiencing
heartburn?
a. Drink plenty of fluids at bedtime.
b. Eat only three meals a day so the stomach is empty between meals.
c. Drink coffee or orange juice immediately on arising in the morning.
d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
Correct answer is:
d. Use Tums or Alkamints to obtain relief, as directed by the health care provider.
Rationale:
Heartburn during pregnancy is common due to hormonal changes that relax the lower esophageal
sphincter and the pressure of the growing uterus on the stomach. Antacids like Tums or Alkamints
can safely neutralize stomach acid and provide relief when used as directed by a healthcare
provider. Drinking plenty of fluids at bedtime or consuming coffee/orange juice can worsen
heartburn. Eating smaller, more frequent meals rather than only three large meals is recommended
to reduce symptoms.
DIF: Application
REF: Maternity Nursing
OBJ: Identify safe interventions for common discomforts in pregnancy
TOP: Nursing Process — Implementation
Antacids high in calcium (e.g., Tums, Alkamints) can provide temporary relief.
Fluids overstretch the stomach and may precipitate reflux when lying down.
Instruct the woman to eat five or six small meals per day rather than three full
meals. Coffee and orange juice stimulate acid formation in the stomach.
4
While providing education to a primiparous client regarding the normal changes of
pregnancy, what is important for the nurse to explain about Braxton Hicks
contractions?
a. These contractions may indicate preterm labor.
b. These are contractions that never cause any discomfort.
c. Braxton Hicks contractions only start during the third trimester.
d. These occur throughout pregnancy, but you may not feel them until the third
trimester.
