Nurses hearing complaints of changes in the voice and impaired ...

[wenmo]

Nurses hearing complaints of changes in the voice and impaired hearing can tell their patients that they are common reactions to:
 
  1. decreased levels of estrogen.
  2. displacement of the diaphragm that causes thoracic breathing.
  3. congestion and swelling due to the upper respiratory tract becoming more vascu-lar.
  4. increased volume of blood.

Question 2

To reassure and educate their patients concerning changes in their blood pressure, maternity nurses should be aware that:
 
  1. too small a blood pressure cuff yields too low a reading; too large yields too high a reading.
  2. shifting the position of the woman and changing from arm to arm for different measurement yields the most accurate composite blood pressure reading at each visit.
  3. systolic blood pressure increases slightly as pregnancy advances; diastolic remains constant.
  4. compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the latter part of term pregnancy.

[Pariscourtney]

Answer to Question 1

3
1. Incorrect. Estrogen levels increase, causing the upper respiratory tract to become more vascular, causing swelling and congestion in the nose and ears, thus changes in voice and impaired hearing.
2. Incorrect. The diaphragm is displaced. However, key here is that estrogen levels increase, causing the upper respiratory tract to become more vascular, causing swelling and congestion in the nose and ears, thus changes in voice and impaired hearing.
3. Correct. Estrogen levels increase causing the upper respiratory tract to become more vascular, causing swelling and congestion in the nose and ears, thus changes in voice and impaired hearing.
4. Incorrect. The volume of blood is increased. However, key here is that estrogen levels increase, causing the upper respiratory tract to become more vascular, causing swelling and congestion in the nose and ears, thus changes in voice and impaired hearing.

Answer to Question 2

4
1. Incorrect. The tightness of a two-small cuff yields too high a blood pressure reading; the looseness of a too-large cuff yields too low a reading.
2. Incorrect. Because maternal positioning affects readings, they should be obtained in the same arm and with the woman in the same position.
3. Incorrect. Systolic blood pressure generally remains level but may decline slightly as pregnancy advances. Diastolic blood pressure first drops, then gradually increases.
4. Correct. This compression also leads to varicose veins in the legs and vulva.

[wenmo]

Thank you

[Pariscourtney]

No problemo