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?
“If I develop striae gravidarum, I need to call my provider immediately.”.
“My nipples and areola will become pale as my breasts enlarge.”.
“I should begin to recognize fetal movement by 10 weeks gestation.”.
“Some nausea and vomiting is normal, but I should call my provider if I am unable to keep food or water down.”.
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 C
Explanation
Choice A rationale
This choice indicates G3-T1-P0-A1-L2. Gravida (G) is the total number of pregnancies, which is correct as 3. Term (T) is the number of pregnancies carried to term (37 weeks or more), which is 1. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 0. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 1. Living (L) is the number of living children, which is 2. However, this choice incorrectly counts the preterm delivery as an abortion.
Choice B rationale
This choice indicates G3-T2-P0-A0-L2. Gravida (G) is correct as 3. Term (T) is the number of pregnancies carried to term, which is 2. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 0. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 0. Living (L) is the number of living children, which is 2. This choice incorrectly counts the preterm delivery as a term delivery.
Choice C rationale
This choice indicates G3-T1-P1-A0-L2. Gravida (G) is correct as 3. Term (T) is the number of pregnancies carried to term, which is 1. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 1. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 0. Living (L) is the number of living children, which is 2. This choice correctly accounts for the term and preterm deliveries.
Choice D rationale
This choice indicates G2-T1-P1-A0-L2. Gravida (G) is incorrect as it should be 3. Term (T) is the number of pregnancies carried to term, which is 1. Preterm (P) is the number of pregnancies delivered between 20 and 36 weeks, which is 1. Abortions (A) is the number of pregnancies lost before 20 weeks, which is 0. Living (L) is the number of living children, which is 2. This choice incorrectly counts the total number of pregnancies.
Correct Answer is B
Explanation
Choice A rationale
Not providing resources immediately may leave the patient feeling unsupported and isolated. It is important to offer resources and support to help the patient cope with the emotional and psychological impact of terminating a pregnancy due to a genetic abnormality.
Choice B rationale
Discussing the stages of grief is an appropriate nursing action. It helps the patient understand that their feelings are normal and provides a framework for processing their emotions. This support can be crucial in helping the patient navigate their grief and begin the healing process.
Choice C rationale
Encouraging the patient to rethink their decision is not appropriate. The decision to terminate a pregnancy due to a genetic abnormality is often difficult and deeply personal. It is important to respect the patient’s decision and provide support rather than questioning their choice.
Choice D rationale
Encouraging the couple not to share their emotions with each other can be harmful. Open communication between partners is essential for mutual support and understanding during such a challenging time. Encouraging them to share their feelings can strengthen their relationship and help them cope with the loss together.