Cecilia, a pregnant woman at 30 weeks' gestation, has her vital ...

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Cecilia, a pregnant woman at 30 weeks' gestation, has her vital signs assessed during a routine prenatal visit.
 
  Cecilia's blood pressure has remained at 110/70 for the last few visits, and her pulse rate has increased from 70 to 80 beats per minute. These findings would be considered normal at this time in pregnancy.
  Indicate whether the statement is true or false.

Question 2

During the initial antenatal visit, the clinic nurse asks questions about the woman's nutritional intake. Specific questions should include information pertaining to (select all that apply):
 
  a. Preferred foods
  b. The presence of cravings
  c. Use of herbal supplements
  d. Aversions to certain foods and odors

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Answer to Question 1

ANS: True
During the first trimester, blood pressure normally remains the same as prepregnancy levels but then gradually decreases up to around 20 weeks' of gestation. After 20 weeks, the vascular volume expands and the blood pressure increases to reach prepregnant levels by term.

Answer to Question 2

ANS: a, b, c, d
The nurse should obtain a nutritional history on all pregnant patients and patients of childbearing age to gain specific information related to the pregnancy, including foods that are preferred while pregnant (which may provide information about cultural and environmental dietary factors), special diets (which will assist the nurse in planning for education or interventions for risk factors associated with dietary practices), cravings or aversions to specific foods, and use of herbal supplements.

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