Maggie is 7 months pregnant with her first child. She is 37 years old and waited to start a family until she felt established in her career
She is visiting the health care provider for her scheduled prenatal check up and tells the nurse that she is short of breath and fatigued. What is the best re-sponse from the nurse? A. "You should have let us know immediately instead of waiting until your ap-pointment."
B. "I'll make a note of it on your chart."
C. "That is normal; your uterus is pushing on your diaphragm, making it more diffi-cult to breathe."
D. "The health care provider should have warned you about this on your last visit."
C
Pregnancy causes changes in ventilation. As the fetus grows during pregnancy, the greater size of the uterus pushes abdominal contents up against the diaphragm. During the last trimester of pregnancy the inspiratory capacity declines, resulting in dyspnea on exertion and increased fa-tigue.
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