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A nurse is reinforcing teaching with a group of adolescent females who are pregnant about expected changes related to pregnancy.Which of the following client statements indicates understanding of the teaching?

A.

“If I develop striae gravidarum, I need to call my provider immediately.”.

B.

“My nipples and areola will become pale as my breasts enlarge.”.

C.

“I should begin to recognize fetal movement by 10 weeks gestation.”.

D.

“Some nausea and vomiting is normal, but I should call my provider if I am unable to keep food or water down.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Striae gravidarum, or stretch marks, are a common occurrence during pregnancy due to the rapid stretching of the skin. They are not a medical emergency and do not require immediate attention from a healthcare provider.

 

Choice B rationale

 

During pregnancy, the nipples and areola typically become darker, not paler, as the breasts enlarge. This change is due to hormonal influences and increased blood flow to the area.

 

Choice C rationale

 

Fetal movement, also known as quickening, is usually felt by the mother between 18 to 25 weeks of gestation, not as early as 10 weeks. At 10 weeks, the fetus is still too small for its movements to be felt by the mother.

 

Choice D rationale

 

Some nausea and vomiting, known as morning sickness, is normal during pregnancy. However, if a pregnant woman is unable to keep food or water down, it is important to contact a healthcare provider to ensure she and the baby are receiving adequate nutrition and hydration.


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Correct Answer is D

Explanation

Choice A rationale

Having a child with blue eyes is not an indication for genetic testing. Eye color is a polygenic trait and does not typically warrant genetic testing.

Choice B rationale

Reactive airway disease in preterm children is not a direct indication for genetic testing. This condition is more related to the complications of prematurity rather than genetic factors.

Choice C rationale

Neonatal jaundice is common and usually resolves without long-term issues. It is not typically an indication for genetic testing unless there is a suspicion of an underlying genetic disorder.

Choice D rationale

Tay-Sachs Disease is a genetic disorder, and having a child with this condition is a strong indication for genetic testing. This would help determine the risk of recurrence in future pregnancies and provide valuable information for family planning. .

Correct Answer is C

Explanation

Choice A rationale

The umbilical cord does not typically contain one artery and one vein. This configuration would not provide the necessary blood flow to support fetal development. The umbilical cord must have two arteries to carry deoxygenated blood and waste products from the fetus to the placenta, and one vein to carry oxygenated blood and nutrients from the placenta to the fetus.

Choice B rationale

Two veins and one artery is also incorrect. The umbilical cord must have two arteries to ensure that deoxygenated blood and waste products are efficiently transported from the fetus to the placenta. Having only one artery would not suffice for the required blood flow.

Choice C rationale

Two arteries and one vein is the correct configuration of the umbilical cord. The two arteries carry deoxygenated blood and waste products from the fetus to the placenta, while the single vein carries oxygenated blood and nutrients from the placenta to the fetus. This arrangement is essential for maintaining proper fetal circulation during pregnancy.

Choice D rationale

Two arteries and two veins is incorrect. The umbilical cord only needs one vein to carry oxygenated blood and nutrients from the placenta to the fetus. Having two veins would be redundant and unnecessary for fetal development.

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