Exam 9: Physical and Physiologic Changes of Pregnancy

A prenatal educator is asking a partner about normal psychological adjustment of an expectant mother during the second trimester of pregnancy.Which of the following answers by the partner would indicate a typical expectant mother's response to pregnancy?

The nurse has received a phone call from a multigravida,who is 21 weeks pregnant and has not felt fetal movement yet.The best action for the nurse to take would be to:

A pregnant client at 16 weeks' gestation has a hematocrit of 35%.Her prepregnancy hematocrit was 40%.Which of the following statements by the nurse best explains this change?

A client who is in the second trimester of pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus.Which of the following are other expected changes during pregnancy that she also might notice?

A client who is in her 14th week of pregnancy is in the clinic for a prenatal visit.Her mother also is present.The grandmother-to-be states that she is quite uncertain about how she can be a good grandmother to this baby because she works full-time,and her own grandmother was retired and was always available when needed by a grandchild.The best response to this concern would be:

The partner of a client at 16 weeks' gestation accompanies her to the clinic.The partner tells you that the baby just doesn't seem real to him,and he's having a hard time relating to his partner's fatigue and food aversions.Which of the following statements would be best for the nurse to make?

A client with a normal prepregnancy weight asks why she has been told to gain 25-35 pounds during her pregnancy but her underweight friend was told to gain more weight.The nurse should tell the client that recommended weight gain during pregnancy should be:

A client complains that during her first months of pregnancy,"It seems like I have to go to the bathroom every five minutes." The nurse relates to the client that this is because:

The 20-year-old client at 10 weeks' gestation is preparing for her first prenatal visit.She confides: "This pregnancy was unplanned.I'm not sure if I want to be pregnant or not.I haven't even told my boyfriend I'm pregnant.And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next?

A client calls a prenatal clinic,stating,"I have nausea in the morning,I am late with my menstrual cycle,and I am feeling really fatigued." The nurse explains to the client that these symptoms are:

The nurse is caring for a pregnant client who speaks little English.Which of the following actions should the nurse take to make certain that the client understands the plan of care?

It is one week before a pregnant client's due date.The nurse notes on the chart that the client's pulse rate was 74-80 before pregnancy.Today,the client's pulse rate at rest is 90.The nurse should take which of the following actions?

At a second-trimester prenatal visit,a married couple are discussing their new roles as parents with the nurse.The father comments that he really wants to be a good father to their new baby.The nurse should explain that in developing the fatherhood role,the most important thing is to:

The nurse understands that a client's pregnancy is progressing normally when which of the following physiologic changes are documented on the prenatal record of a woman at 36 weeks' gestation? Select all that apply

A woman telephones the clinic to say that it has been 6 weeks since her last menstrual period,but a home pregnancy test run today was negative.She asks,"Do you think I could be pregnant?" After determining that the test was performed correctly,the nurse's best reply would be: