During an examination of a patient in her third trimester of pregnancy, the nurse notices that the patient's thyroid gland is slightly enlarged. No enlargement had been previously noticed. The nurse suspects that the patient:

a. Has an iodine deficiency.
b. Is exhibiting early signs of goiter.
c. Is exhibiting a normal enlargement of the thyroid gland during pregnancy.
d. Needs further testing for possible thyroid cancer.


ANS: C
The thyroid gland enlarges slightly during pregnancy because of hyperplasia of the tissue and increased vascularity.

Nursing

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