Which factors contribute to the presence of edema in the pregnant ...

[Bob-Dole]

Which factors contribute to the presence of edema in the pregnant client? (Select all that apply.)
 
  a. Diet consisting of processed foods
  b. Hemoconcentration
  c. Increase in colloid osmotic pressure
  d. Last trimester of pregnancy
  e. Decreased venous return

Question 2

The nurse is teaching a pregnant client about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? (Select all that apply.)
 
  a. Report watery vaginal discharge.
  b. Report puffiness of the face or around the eyes.
  c. Report any bloody show when you go into labor.
  d. Report visual disturbances, such as spots before the eyes.
  e. Report any dependent edema that occurs at the end of the day.

[mcabuhat]

Answer to Question 1

ANS: A, D, E
Processed foods, which are high in sodium content, can contribute to edema formation. As the pregnancy progresses, because of the weight of the uterus, compression takes place, leading to decreased venous return and an increase in edema formation. A decrease in colloid osmotic pressure would contribute to edema formation and fluid shifting. Hemodilution would also lead to edema formation.

Answer to Question 2

ANS: A, B, D
Watery vaginal discharge could mean that the membranes have ruptured. Puffiness of the face or around the eyes and visual disturbances may indicate preeclampsia or eclampsia. These three signs should be reported. Bloody show as labor starts may mean the mucous plug has been expelled. One of the earliest signs of labor may be bloody show, which consists of the mucous plug and a small amount of blood. This is a normal occurrence. Up to 70 of women have dependent edema during pregnancy. This is not a sign of a pregnancy complication.

[Bob-Dole]

Thank you

[mcabuhat]

No problemo