A pregnant patient who has frequent allergic responses to drugs ...

[jman1234]

A pregnant patient who has frequent allergic responses to drugs is concerned about an allergic reaction to the fetus. What information will the nurse use when responding to this patient's concern?
 
  A) Immunologic activity is decreased during pregnancy.
  B) The level of aldosterone during pregnancy reduces production of IgG antibodies.
  C) The kidneys release a hormone during pregnancy to prevent this from happening.
  D) The decreased corticosteroid activity during pregnancy ensures this will not happen.

Question 2

In a client's seventh month of pregnancy, she reports feeling dizzy, like I'm going to pass out, when I lie down flat on my back.. The nurse integrates which of the following in to the explanation?
 
  A) Pressure of the gravid uterus on the vena cava
  B) A 50 increase in blood volume
  C) Physiologic anemia due to hemoglobin decrease
  D) Pressure of the presenting fetal part on the diaphragm

[owenfalvey]

Answer to Question 1

A
Feedback:
Immunologic competency during pregnancy decreases probably to prevent a woman's body from rejecting the fetus as if it were a transplanted organ. Aldosterone does not impact the production of IgG antibodies. The kidneys do not influence an allergic response. Adrenal gland activity increases during pregnancy.

Answer to Question 2

A
Feedback:
The client is describing symptoms of supine hypotension syndrome, which occurs when the heavy gravid uterus falls back against the superior vena cava in the supine position. The vena cava is compressed, reducing venous return, cardiac output, and blood pressure, with increased orthostasis. The increased blood volume and physiologic anemia are unrelated to the client's symptoms. Pressure on the diaphragm would lead to dyspnea.

[jman1234]

Excellent

[sailorcrescent]

TYSM