Rasmussen College: NUR 2513Exam 1 Study Guide Questions, LATEST 2021/2022,100% CORRECT
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NUR 2513
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NUR 2513
Rasmussen College: NUR 2513Exam 1 Study Guide Questions¬¬¬, LATEST 2021/2022
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...
rasmussen college nur 2513exam 1 study guide questions¬¬¬
rasmussen college nur 2513exam 1 study guide questions
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Rasmussen College: NUR 2513Exam 1 Study Guide Questions,
LATEST 2021/2022
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.
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.
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.
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.
Throughout pregnancy, the uterus undergoes irregular contractions called Braxton
Hicks contractions. During the first two trimesters, the contractions are infrequent
and usually not felt by the woman until the third trimester. Braxton Hicks
contractions do not indicate preterm labor. Braxton Hicks contractions can cause
some discomfort, especially in the third trimester. Braxton Hicks contractions occur
throughout the whole pregnancy.
5
What is the reason for vascular volume increasing by 40% to 60% during
pregnancy?
a. Prevents maternal and fetal dehydration
b. Eliminates metabolic wastes of the
mother c. Provides adequate perfusion
, of the placenta
d. Compensates for decreased renal plasma flow
The primary function of increased vascular volume is to transport oxygen and
nutrients to the fetus via the placenta. Preventing maternal and fetal dehydration is
not the primary reason for the
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