The perinatal nurse describes normal maternal signs and symptoms associated with lightening to the prenatal class attendants. These signs and symptoms include which of the following? (Select all that apply.)

A. Difficulty breathing
B. Increased urinary frequency
C. Increased vaginal secretions
D. Leg cramps
E. Nausea and vomiting


ANS: B, C, D
The downward settling that occurs during lightening may also lead to the following maternal symptoms: leg cramps or pains, increased pelvic pressure, increased urinary frequency, increased venous stasis that may cause edema in the lower extremities, and increased vaginal secretions related to congestion in the vaginal mucosa. The downward movement of the fetus actually may make breathing easier. Nausea and vomiting are not associated symptoms.

Nursing

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A newly married couple is seeking genetic counseling because they are both carriers of the sickle cell trait. How can the nurse best explain the children's risk of inheriting this disease?

a. Every fourth child will have the disease; two others will be carriers. b. All of their children will be carriers, just as they are. c. Each child has a one in four chance of having the disease and a two in four chance of being a carrier. d. The risk levels of their children cannot be determined by this information.

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The nurse is caring for a patient who is not responding to medical treatment. The intensivist holds a conference with the family, and a decision is made to withdraw life support. The nurse's religious beliefs are not in agreement with withdrawal

However, she assists with the process to avoid confronting the charge nurse. Afterward she feels guilty and believes she "killed the patient." This scenario is likely to cause: a. abandonment. b. family stress. c. moral distress. d. negligence.

Nursing

When assessing the relative advantages and disadvantages of internal and external electronic fetal monitoring, nurses should be aware that both:

1. can be used when membranes are intact. 2. measure the frequency, duration, and intensity of UCs. 3. may need to rely on the woman to indicate when UA is occurring. 4. can be used during the antepartum and intrapartum periods.

Nursing

A client tells the nurse that he believes he will learn to manage his illness and will continue to live a productive life. The nurse realizes that this client's positive self-esteem is evidence of:

1. external locus of control. 2. self-efficacy. 3. pity. 4. hopelessness.

Nursing