Author Question: Nancy is a 31-year-old woman who believes she may be pregnant. She took an over-the-counter ... (Read 52 times)

CBme · **on:** Jun 27, 2018

Nancy is a 31-year-old woman who believes she may be pregnant. She took an over-the-counter pregnancy test 1 week after a missed period that turned positive.

During her assessment interview, the nurse inquires about Nancy's LMP and if she is taking any medica-tions. Nancy states that she takes medicine for epilepsy. She has been under much stress lately at work and has not been sleeping well. She also has a history of irregular periods. Nancy's physical exam does not indicate that she is pregnant. Nancy has an ultrasound that reveals she is not pregnant. What is the most likely cause for obtaining false-positive preg-nancy test results? 1. Nancy took the pregnancy test too early.
2. Nancy takes anticonvulsants.
3. Nancy has a fibroid tumor.
4. Nancy has been under much stress and has a hormone imbalance.

Question 2

The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience which of the following changes?

1. Her center of gravity will shift backward.
2. She will experience increased lordosis.
3. She will have increased abdominal muscle tone.
4. She will notice decreased mobility of her pelvic joints.

dajones82 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
1. Incorrect. OTC pregnancy tests use ELISA technology, which can yield positive results as little as 4 days after implantation. Implantation occurs 6 to 10 days after conception. If Nancy were pregnant, she would be into her third week at this point (having missed her pe-riod 1 week ago).
2. Correct. Anticonvulsants may yield false-positive results.
3. Incorrect. Fibroid tumors are nonhormone producing and have no bearing on hCG pregnancy tests.
4. Incorrect. Although stress may interrupt normal hormone cycles (menstrual cycles), it does not affect hCG levels or produce positive pregnancy results.

Answer to Question 2

2
1. Incorrect. The center of gravity shifts forward.
2. Correct. An increase in the normal lumbosacral curve (lordosis) develops and a com-pensatory curvature in the cervicodorsal region develops to help her maintain her balance.
3. Incorrect. She will have decreased muscle tone.
4. Incorrect. She will notice an increased mobility of her pelvic joints.