Author Question: To reassure and educate pregnant clients about changes in their breasts, nurses should be aware ... (Read 23 times)

acc299 · **on:** Jun 28, 2018

To reassure and educate pregnant clients about changes in their breasts, nurses should be aware that:

a. The visibility of blood vessels that form an intertwining blue network indicates full function of Montgomery's tubercles and possibly infection of the tubercles.
b. The mammary glands do not develop until 2 weeks before labor.
c. Lactation is inhibited until the estrogen level declines after birth.
d. Colostrum is the yellowish oily substance used to lubricate the nipples for breastfeeding.

Question 2

To reassure and educate pregnant clients about changes in their cardiovascular system, maternity nurses should be aware that:

a. A pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear.
b. Changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.
c. Palpitations are twice as likely to occur in twin gestations.
d. All of the above changes likely will occur.

zacnyjessica · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Lactation is inhibited until after birth. The visible blue network of blood vessels is a normal outgrowth of a richer blood supply. The mammary glands are functionally complete by midpregnancy. Colostrum is a creamy, white-to-yellow premilk fluid that can be expressed from the nipples before birth.

Answer to Question 2

ANS: B
Auscultatory changes should be discernible after 20 weeks of gestation. A healthy woman with no underlying heart disease does not need any therapy. The maternal heart rate increases in the third trimester, but palpitations may not occur. Auditory changes are discernible at 20 weeks.