Anatomy and Physiology of Pregnancy Quizlet

Anatomy and Physiology of Pregnancy Quizlet Related

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

  • A. Have her write down her concerns and tell her that you will ask the physician to
    respond once the lab results have been evaluated.
  • B. Tell her that this is a benign self-limiting condition that can be easily corrected by switching to a high-iron diet.
  • C. Inform her that because of the pregnancy, her blood volume has increased, leading
  • D. Contact the physician and get a prescription for iron pills to correct this condition.
Correct Answer: C

Rationale: The correct answer is C because pseudoanemia of pregnancy is a normal physiological change where the blood volume expands more rapidly than red blood cell production, leading to a relative decrease in the concentration of red blood cells. By informing the patient that due to the pregnancy, her blood volume has increased, the nurse is addressing the underlying cause of the condition. This explanation reassures the patient that the pseudoanemia is a common occurrence during pregnancy and does not indicate a true anemia requiring treatment.

Choice A is incorrect as it does not address the patient's concerns about pseudoanemia and delays providing a clear explanation. Choice B is incorrect because pseudoanemia does not require a high-iron diet for correction. Choice D is incorrect as prescribing iron pills is unnecessary for pseudoanemia, which is a normal variant of pregnancy.

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Which is a diagnosis that the nurse is legally responsible to report?

  • A. Bronchiolitis
  • B. Sexually transmitted infections
  • C. Acute otitis media
  • D. Strep throat
Correct Answer: B

Rationale: Nurses are legally obligated to report certain communicable diseases, including sexually transmitted infections, to public health authorities to prevent further spread.

Which statement about a condition of pregnancy is accurate?

  • A. Insufficient salivation (ptyalism) is caused by increases in estrogen.
  • B. Acid indigestion (pyrosis) begins early but declines throughout pregnancy.
  • C. Hyperthyroidism often develops (temporarily) because hormone production increases.
  • D. Nausea and vomiting rarely have harmful effects on the fetus and may be beneficial.
Correct Answer: C

Rationale: The correct answer is C because hyperthyroidism can indeed develop during pregnancy due to the increase in hormone production, specifically human chorionic gonadotropin (hCG) stimulating the thyroid gland. This can lead to symptoms such as weight loss, anxiety, and palpitations. Other choices are incorrect because A is false - ptyalism is actually linked to progesterone levels, not estrogen. B is incorrect because acid indigestion tends to worsen as pregnancy progresses, not decline. D is incorrect as severe nausea and vomiting, known as hyperemesis gravidarum, can have harmful effects on both the mother and fetus if not properly managed.

A physician has just documented on a prenatal client. The nurse notices that the physician notes the presence of Goodell's sign. The nurse understands that this sign indicates which of the following?

  • A. Changes in the cervix
  • B. Changes in the uterus
  • C. Passive movement of an unengaged fetus
  • D. Fetus that has begun to descend and engage in the pelvis
Correct Answer: A

Rationale: The correct answer is A, changes in the cervix. Goodell's sign refers to the softening of the cervix that occurs during early pregnancy due to increased vascularity and hormonal changes. This sign is an important indicator of pregnancy and is typically observed during the first trimester. Choice B, changes in the uterus, is incorrect because Goodell's sign specifically refers to changes in the cervix, not the uterus as a whole. Choice C, passive movement of an unengaged fetus, is incorrect as Goodell's sign is not related to fetal movement. Choice D, fetus that has begun to descend and engage in the pelvis, is also incorrect as Goodell's sign occurs much earlier in pregnancy before the fetus engages in the pelvis.

Appendicitis may be difficult to diagnose in pregnancy because the appendix is:

  • A. displaced upward and laterally, high and to the right.
  • B. displaced upward and laterally, high and to the left.
  • C. deep at McBurney point.
  • D. displaced downward and laterally, low and to the right.
Correct Answer: A

Rationale: The appendix is displaced high and to the right, beyond McBurney point.

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?

  • A. Antepartum obsession
  • B. Ambivalence
  • C. Uncertainty
  • D. Uncertainty
Correct Answer: D

Rationale: The correct answer is D: Uncertainty. The patient is exhibiting psychological behavior characterized by doubt and indecision regarding her pregnancy. This is evident by her concern and the feedback she is receiving from her family and friends.

A: Antepartum obsession is not the correct choice as the patient is not displaying an obsessive preoccupation with her pregnancy.
B: Ambivalence is not the correct choice as it refers to conflicting feelings or thoughts, which are not explicitly mentioned in the scenario.
C: Uncertainty is essentially the same as choice D, which is the correct answer.

In summary, the patient's behavior aligns with uncertainty as she is expressing doubt and worry about her excessive focus on her pregnancy.

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