Which of the following physiologic changes are common in pregnant women? (Select all that apply.)
a. Circulating blood volume decreases by 20% as it is diverted to the placenta.
b. Oxygen consumption increases to accommodate the fetus's needs.
c. Respiratory tidal volumes decrease because of the elevated diaphragm.
d. Gastric motility decreases because of displacement of gastrointestinal structures by the enlarged uterus.
e. The glomerular filtration rate increases as cardiac output rises.
B, D, E
Blood volumes increase and cardiac output rises to accommodate fetal circulation. The enlargement of the uterus pushes the abdominal contents upward, impairing gastric function.
You might also like to view...
A nurse is teaching a childbirth preparation class. The group is discussing individual expression of labor pain. What statement is accurate about a patient's expression of pain?
a. It reduces the patient's perception of pain. b. It is intensified by the vertex position of the fetus. c. It is influenced by culture. d. It can be completely controlled by nonpharmacological techniques.
The OB-GYN nurse is evaluating patient satisfaction with her childbirth experience. The nurse looks at whether the nursing care included: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Establishment of good rapport. 2. Involvement of the patient in decisions. 3. Provision of support to the patient. 4. Visitors' not being allowed in the labor room. 5. Keeping the patient bed-bound through labor.
A patient with hypothyroidism begins taking PO levothyroxine (Synthroid). The nurse assesses the patient at the beginning of the shift and notes a heart rate of 62 beats per minute and a temperature of 97.2° F
The patient is lethargic and difficult to arouse. The nurse will contact the provider to request an order for which drug? a. Beta blocker b. Increased dose of PO levothyroxine c. Intravenous levothyroxine d. Methimazole (Tapazole)
A client is diagnosed with osteomalacia. Which of the following would a nurse include in the client's teaching plan?
A) Decreasing purine intake can reduce the risk of osteomalacia. B) An increased amount of vitamin C intake is recommended. C) At least 20 minutes of sunlight each day is recommended D) Reduce the amount of protein intake.