A client who is 38 weeks pregnant reports increased urinary ...

[CBme]

A client who is 38 weeks pregnant reports increased urinary frequency. Based on this data, which response by the nurse is indicated?
 
  1. Your reports are consistent with a urinary tract infection.
  2. I will need to check your blood sugar as excessive urination is associated with gestational diabetes.
  3. Reducing your fluid intake will be helpful to manage this problem.
  4. This is normal occurrence in the later stages of pregnancy.

Question 2

While reviewing a pregnant client's medical record, the nurse notes that the cervix was soft in texture and nontender during the pelvic examination. Based on this data, which would the nurse identify as a normal finding?
 
  1. Piskacek sign.
  2. Goodell sign.
  3. Chadwick sign.
  4. Hegar sign.

[ong527]

Answer to Question 1

Correct Answer: 4
During the last few weeks prior to delivery, the client will experience lightening. The pressure caused by this event results in frequent urination. It is a normal occurrence. In the absence of other information, this is the most correct response. There are no indications the client has an elevation in blood glucose levels or a urinary tract infection. The health of the pregnancy requires adequate fluid intake. Reduction of fluid intake is problematic as it will reduce fluids available to the fetus. In addition, the condition is not being caused by an increased oral fluid intake.

Answer to Question 2

Correct Answer: 2
During pregnancy, the vascularity of the cervix increases and contributes to the softening of the cervix. This is a normal finding called Goodell sign. Chadwick sign, also occurring during pregnancy, is the appearance of a bluish-purple coloration of the cervix due to vascular congestion. Piskacek sign is when the shape of the uterus becomes irregular due to the implantation of the ovum. Hegar sign occurs throughout pregnancy and is the softening of the region that connects the body of the uterus and the cervix.

[CBme]

TYSM

[bulacsom]

Excellent