A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I've never urinated as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make?
A) "Having to urinate so often is annoying. I suggest that you watch how much fluid you are drinking and limit it."
B) "You shouldn't be urinating this frequently now; it usually stops by the time you're eight weeks pregnant. Is there anything else bothering you?"
C) "By the time you are 12 weeks pregnant, this frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy."
D) "Women having their second child generally don't have frequent urination. Are you experiencing any burning sensations?"
C
Response:
As the uterus grows, it presses on the urinary bladder, causing the increased frequency of urination during the first trimester. This complaint lessens during the second trimester only to reappear in the third trimester as the fetus begins to descend into the pelvis, causing pressure on the bladder.
You might also like to view...
A female client develops a fungal vaginal infection after being treated with antibiotics for strep throat. Which of the following components of the epidemiological triangle is primarily responsible?
a. Agent b. Environment c. Host d. Interaction of agent and environment
The nurse practitioner assesses a 65-year-old client with anemia and intermittent bloody urine. The client denies pain, cloudy urine, and dysurea. Which of the following conditions does the nurse practitioner suspect?
A) Glomerulonephritis B) Renal calculi C) Bladder cancer D) Prostatic hypertrophy
A nurse administers riluzole to a patient with amyotrophic lateral sclerosis. Which neurotransmitter would be the most affected by this drug?
a. Dopamine b. Glutamate c. GABA d. Norepinephrine
The nurse is advising an active pregnant woman on nutritional needs to maintain a healthy pregnancy. What would the nurse state is the average total additional energy (calorie) requirement during pregnancy?
A) 1,500 to 2,000 calories per day B) 2,000 to 2,500 calories per day C) 2,500 to 3,500 calories per day D) 3,500 to 4,000 calories per day