Chapter 6: Maternal Adaptations to to Pregnancy
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Questions and Answers

During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is most appropriate?

  • Have the patient stand up and retake her blood pressure. (correct)
  • Have the patient sit down and hold her arm in a dependent position.
  • Have the patient turn to her left side and recheck her blood pressure in 5 minutes. (correct)
  • Have the patient lie supine for 5 minutes and recheck her blood pressure on both arms.
  • A pregnant woman 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?

  • Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
  • These conditions are abnormal. Refer the patient to an ear, nose, and throat specialist.
  • Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are within normal limits.
  • Estrogen causes increased blood supply to the mucous membranes and can result in congestion and nosebleeds. (correct)
  • While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions?

  • These contractions may indicate preterm labor.
  • These are contractions that never cause any discomfort.
  • Braxton Hicks contractions only start during the third trimester.
  • These occur throughout pregnancy, but you may not feel them until the third trimester. (correct)
  • What is the physiologic reason for vascular volume increasing by 40% to 60% during pregnancy?

    <p>Provides adequate perfusion of the placenta</p> Signup and view all the answers

    Physiologic anemia often occurs during pregnancy due to

    <p>dilution of hemoglobin concentration.</p> Signup and view all the answers

    Which finding is a positive sign of pregnancy?

    <p>Visualization of fetus by ultrasound</p> Signup and view all the answers

    A patient in her first trimester complains of nausea and vomiting. The patient asks, “Why is this happening?” What is the nurse’s best response?

    <p>“It may be due to changes in hormones.”</p> Signup and view all the answers

    The patient has just learned that she is pregnant and overhears the gynecologist saying that she has a positive Chadwick’s sign. When the patient asks the nurse what this means, how would the nurse respond?

    <p>“This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix.”</p> Signup and view all the answers

    An expected change during pregnancy is a darkly pigmented vertical midabdominal line. The nurse recognizes this alteration as

    <p>linea nigra.</p> Signup and view all the answers

    What is the best explanation that the nurse can provide to a patient who is concerned that she has “pseudoanemia” of pregnancy?

    <p>Inform her that because of the pregnancy, her blood volume has increased, leading to a substantial dilution effect on her serum blood levels, and that most women experience this condition.</p> Signup and view all the answers

    Which physiologic finding is consistent with normal pregnancy?

    <p>Cardiac output increases during pregnancy.</p> Signup and view all the answers

    A pregnant woman complains of frequent heartburn. The patient states that she has never had these symptoms before and wonders why this is happening now. The most appropriate response by the nurse is to

    <p>explain to the patient that physiologic changes caused by the pregnancy make her more likely to experience these types of symptoms.</p> Signup and view all the answers

    Which physiologic adaptation of pregnancy may lead to increased constipation during the pregnancy?

    <p>Decreased motility in the intestines</p> Signup and view all the answers

    Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?

    <p>Prolonged emptying time</p> Signup and view all the answers

    Which of these findings would indicate a potential complication related to renal function during pregnancy?

    <p>Increase in serum creatinine level</p> Signup and view all the answers

    A pregnant woman notices that she is beginning to develop dark skin patches on her face. She denies using any different type of facial products as a cleansing solution or makeup. What would the priority nursing intervention be in response to this situation?

    <p>Let the patient know that this is a common finding that occurs during pregnancy.</p> Signup and view all the answers

    A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is tired, and her breasts are sore all of the time. The patient’s urine test is positive for hCG. What is the correct nursing action related to this information?

    <p>Determine if there are any factors that might prohibit her from seeking medical care.</p> Signup and view all the answers

    Which comment made by a patient in her first trimester indicates ambivalent feelings?

    <p>“I wanted to become pregnant, but I’m scared about being a mother.”</p> Signup and view all the answers

    A patient who is 7 months pregnant states, “I’m worried that something will happen to my baby.” Which is the nurse’s best response?

    <p>“Tell me about your concerns.”</p> Signup and view all the answers

    What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life?

    <p>Grief work</p> Signup and view all the answers

    An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby’s temperament. The nurse interprets this as the development of which maternal task of pregnancy?

    <p>Developing attachment with the baby</p> Signup and view all the answers

    Which situation best describes a man trying on fathering behaviors?

    <p>Coaching a little league baseball team</p> Signup and view all the answers

    A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old daughter is expecting her first child. Which is a major factor in determining how this woman will respond to becoming a grandmother?

    <p>Her age</p> Signup and view all the answers

    Which comment made by a new mother to her own mother is most likely to encourage the grandmother’s participation in the infant’s care?

    <p>“The baby is spitting up a lot. What should I do?”</p> Signup and view all the answers

    Which comment made by a new mother exhibits understanding of her toddler’s response to a new sibling?

    <p>“My husband is going to stay with the baby so I can take Michael to the park tomorrow.”</p> Signup and view all the answers

    An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?

    <p>Intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present.</p> Signup and view all the answers

    A pregnant patient comes into the medical clinic stating that her family and friends are telling her that she is always talking about the pregnancy and nothing else. She is concerned that something is wrong with her. What psychological behavior is she exhibiting?

    <p>Introversion</p> Signup and view all the answers

    A patient relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this patient statement?

    <p>Explain that her boyfriend may be experiencing couvade syndrome and that this is a normal finding seen with male partners.</p> Signup and view all the answers

    The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate? (Select all that apply.)

    <p>The patient expresses concern about how to know if labor has started.</p> Signup and view all the answers

    The nurse is teaching a pregnant patient about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? (Select all that apply.)

    <p>Report watery vaginal discharge.</p> Signup and view all the answers

    Which findings are presumptive signs of pregnancy? (Select all that apply.)

    <p>Quickening</p> Signup and view all the answers

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