Ricci Chapter 11 Questions and Answers | Latest Version | 2024/2025 | Already Passed

Ricci Chapter 11 Questions and Answers | Latest Version | 2024/2025 | Already Passed 1. During a vaginal examination, the nurse observes softening of the lower uterine segment. The nurse documents this finding as: A. Hegar sign. B. Goodell sign. C. Chadwick sign. D. Ortolani sign. Answer: A Rationale: Hegar sign refers to the softening of the lower uterine segment or isthmus. Chadwick sign indicates a bluish coloration of the cervix. Goodell sign signifies softening of the cervix. Ortolani sign is used to assess hip dysplasia in infants. 2. The nurse educates a first-time pregnant client that lightening typically occurs about two weeks before labor begins. During this time, the client is likely to experience: A. dysuria B. dyspnea C. constipation D. urinary frequency Answer: D Rationale: Lightening refers to the descent of the fetal head into the pelvis, relieving pressure on the diaphragm and increasing pressure on the bladder, leading to urinary frequency. Dysuria suggests a possible urinary tract infection. Constipation may occur due to reduced bowel motility during pregnancy, but it is not related to lightening. 3. A client who is pregnant with her second child complains to the nurse about frequent urination since the 7th week of pregnancy. Which response from the nurse is most appropriate? A. "Frequent urination can be bothersome. I recommend monitoring your fluid intake and limiting it." B. "You shouldn't be experiencing frequent urination at this stage; typically, it stops by the 8th week of pregnancy. Is there anything else bothering you?" C. "By the time you reach 12 weeks of pregnancy, your frequency of urination should decrease, but it may return in the later stages of pregnancy." D. "Women who have had their second child usually don't experience frequent urination. Are you feeling any burning sensations?" Answer: C Rationale: Increased urinary frequency in early pregnancy is due to the uterus pressing on the bladder. This symptom usually subsides in the second trimester but returns in the third as the fetus descends into the pelvis, putting pressure on the bladder. 4. In her seventh month of pregnancy, a client reports feeling dizzy and like she might faint when lying flat on her back. The nurse explains that this is caused by: A. pressure of the pregnant uterus on the vena cava. B. a 50% increase in blood volume. C. physiological anemia due to decreased hemoglobin. D. pressure of the presenting fetal part on the diaphragm. Answer: A Rationale: Symptoms described indicate supine hypotensive syndrome, where the gravid uterus compresses the vena cava when the client lies supine, reducing venous return and causing orthostatic hypotension. Increased blood volume and physiological anemia are unrelated to these symptoms. Pressure on the diaphragm would lead to dyspnea, not dizziness and fainting. 5. During a first prenatal visit, a primiparous client at 11 weeks of gestation is advised on what to expect during this period. Which issue is most likely to be included in the nurse's teaching plan? A. ankle edema B. urinary frequency C. backache D. hemorrhoids Answer: B Rationale: Urinary frequency is common during early pregnancy due to the enlarging uterus pressing on the bladder. Ankle edema, backache, and hemorrhoids typically occur later in pregnancy. 6. The nurse discusses insulin requirements with a first-time pregnant client who has diabetes and has been using insulin for several years. The nurse informs the client that insulin needs will increase during pregnancy primarily because the placenta produces: A. hCG, which elevates maternal glucose levels. B. hPL, which reduces insulin effectiveness. C. estriol, which interferes with insulin transport across the placenta. D. relaxin, which decreases insulin production. Answer: B Rationale: Human placental lactogen (hPL) acts as an insulin antagonist, necessitating increased insulin production in diabetic mothers during pregnancy. hCG does not affect glucose levels. Estrogen, not estriol, opposes insulin.