A patient who is in the second trimester of pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus
What other expected changes during pregnancy might she also notice? 1. Lightening of the nipples and areolas
2. Reddish streaks called striae on her abdomen
3. A decrease in hair thickness
4. Small purplish dots on her face and arms
2
Rationale 1: Increased estrogen levels cause a number of skin changes during pregnancy, including chloasma (a darkening of the skin on the face) and increased pigmentation of the nipples and areolas.
Rationale 2: Reddish streaks called striae or stretch marks often appear on the abdomen of pregnant women.
Rationale 3: A greater percentage of hair follicles go into the dormant phase, resulting in less hair shedding, which is perceived as thickening of the hair.
Rationale 4: Although raised red spots on the skin (spider nevi) are a normal finding, petechiae are not.
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