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Author Question: A client who is in the second trimester of pregnancy tells the nurse that she has developed a ... (Read 90 times)

rachel9

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A client who is in the second trimester of pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus.
 
  What other expected changes during pregnancy might she also notice? 1. Lightening of the nipples and areolas
  2. Reddish streaks called striae on her abdomen
  3. A decrease in hair thickness
  4. Small purplish dots on her face and arms

Question 2

A primigravida patient arrives in the labor and delivery unit and describes her contractions as occurring every 1012 minutes, lasting 30 seconds. She is smiling and very excited about the possibility of being in labor.
 
  On exam, her cervix is dilated 2 cm, 100 effaced, and -2 station. What best describes this labor? 1. Second phase
  2. Latent phase
  3. Active phase
  4. Transition phase



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trog

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Answer to Question 1

2
Explanation: 2. Striae, or stretch marks, are reddish, wavy, depressed streaks that may occur over the abdomen, breasts, and thighs as pregnancy progresses.

Answer to Question 2

2
Rationale 1: There is no phase of labor that is identified as the second phase.
Rationale 2: The latent phase of labor starts with the beginning of regular mild contractions. The mother is talkative and excited, and has minimal cervical changes.
Rationale 3: During the active phase, the woman's cervix dilates from 34 cm to 8 cm, and the mother has an increasing level of anxiety.
Rationale 4: During transition, the cervix dilates from 8 to 10 cm, and the mother becomes restless.




trog

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