A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based on the nurse's knowledge of the maternal physiological changes in pregnancy, which of these findings would be…

The correct answer is B. Edema of face and hands. (A) Dyspnea is a common complaint during the third trimester owing to the increasing size of the uterus and the resulting pressure against the diaphragm. (B) Edema of the face, hands, or pitting edema after 12 hours of bed rest may be indicative of preeclampsia and would be of…

Physiological Integrity: Reduction of Risk Potential

Question

A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based on the nurse's knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

Options

AComplaints of dyspnea
BEdema of face and hands
CPulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks
DHematocrit 39%

How the community answered

(37 responses)

A
8% (3)
B
76% (28)
C
14% (5)
D
3% (1)

Explanation

(A) Dyspnea is a common complaint during the third trimester owing to the increasing size of the uterus and the resulting pressure against the diaphragm. (B) Edema of the face, hands, or pitting edema after 12 hours of bed rest may be indicative of preeclampsia and would be of great concern to the healthcare provider. (C) An increase in heart rate of 10-15 bpm is a normal physiological change in pregnancy due to the multiple hemodynamic changes. (D) A hematocrit value of 39% is within the normal range. A value <35% would indicate anemia.

Topics

#preeclampsia#facial edema#pregnancy assessment#physiological changes

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