Which physiologic event may lead to increased constipation during ...

[CharlieWard]

Which physiologic event may lead to increased constipation during pregnancy?
 
  a. Increased emptying time in the intestines
  b. Abdominal distention and bloating
  c. Decreased absorption of water
  d. Decreased motility in the intestines

Question 2

What is the best explanation that you can provide to a pregnant client who is concerned that she has pseudoanemia of pregnancy?
 
  a. Have her write down her concerns and tell her that you will ask the physician to respond once the lab results have been evaluated.
  b. Tell her that this is a benign self-limiting condition that can be easily corrected by switching to a high-iron diet.
  c. Inform her that because of the pregnancy, her blood volume has increased, leading to a substantial dilution effect on her serum blood levels, and that most women experience this condition.
  d. Contact the physician and get a prescription for iron pills to correct this condition.

[jliusyl]

Answer to Question 1

ANS: D
Decreased motility in the intestines leading to increased water absorption would cause constipation. Increased emptying time in the intestines leads to increased nutrient absorption. Abdominal distention and bloating are a result of increased emptying time in the intestines. Decreased absorption of water would not cause constipation.

Answer to Question 2

ANS: C
Providing factual information based on physiologic mechanisms is the best option. Although having the client write down her concerns is reasonable, the nurse should not refer this conversation to the physician but rather address the client's specific concerns. Switching to a high-iron diet will not correct this condition. This physiologic pattern occurs during pregnancy as a result of hemodilution from excess blood volume. Iron medication is not indicated for correction of this condition. There is no need to contact the physician for a prescription.

[CharlieWard]

Excellent

[gcook]

Great answer, keep it coming