![]() MSC: NCLEX: Physiological Integrity: Physiological Adaptation 6. “There will be a curvature in the upper spine area.” ANS: B The pregnant woman breathes more deeply, and her respiratory rate may increase slightly.ĭIF: Cognitive Level: Comprehension REF: OBJ: 7 | 13 “I’ll notice a decreased pigmentation in my skin.” d. “My breathing will get deeper and a little faster.” c. “Blood pressure goes up toward the end of pregnancy.” b. Which statement indicates that the woman understands the information? a. The nurse has explained physiological changes that occur during pregnancy. MSC: NCLEX: Physiological Integrity: Physiological Adaptation 5. Vascular congestion in the pelvic area ANS: D Chadwick’s sign is caused by increased vascular congestion in the cervical and vaginal area.ĭIF: Cognitive Level: Comprehension REF: OBJ: 6 | 7 What would the nurse explain as the cause of Chadwick’s sign? a. After the examination is completed, the patient asks the nurse why Chadwick’s sign occurs during pregnancy. MSC: NCLEX: Physiological Integrity: Physiological Adaptation 4. KEY: Nursing Process Step: Data Collection TOP: Normal Physiological Changes in Pregnancy Palpation of the fetal outline ANS: A Chadwick’s sign is the purplish or bluish discoloration of the cervix and vagina.ĭIF: Cognitive Level: Knowledge REF: OBJ: 7 Darkening of the areola and breast tenderness d. Bluish or purplish discoloration of the vulva, vagina, and cervix b. During the physical examination for the first prenatal visit, it is noted that Chadwick’s sign is present. MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. TOP: Prenatal Visits KEY: Nursing Process Step: Implementation From 36 weeks until delivery, visits are weekly.ĭIF: Cognitive Level: Application REF: OBJ: 2 | 3 Every 2 to 3 weeks for the entire pregnancy ANS: B Monthly visits are scheduled up to 28 weeks, and then visits increase to every 2 to 3 weeks through 36 weeks. Every 4 weeks until the 7th month, after which appointments will become more frequent c. Every 3 weeks until the 6th month, then every 2 weeks until delivery b. How frequently will the nurse assist the patient to schedule these appointments? a. A woman calls her health care provider to schedule prenatal visits in an uncomplicated pregnancy. ![]() MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. KEY: Nursing Process Step: Implementation Gravida 2, para 11110 ANS: C Refer to Box 4-1 in the textbook for the TPALM system of identifying gravida and para.ĭIF: Cognitive Level: Application REF:, Box 4. How would the nurse document the patient’s obstetric history using the TPALM system? a. She has a 2-year-old son and had one previous spontaneous abortion. A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. Chapter 04: Prenatal Care and Adaptations to Pregnancy MULTIPLE CHOICE 1.
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