An 18-year-old woman at 23 weeks' gestation tells the nurse that ...

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An 18-year-old woman at 23 weeks' gestation tells the nurse that she has fainted two times. The nurse teaches about the warning signs that often precede syncope so that she can sit or lie down to prevent personal injury.
 
  Warning signs include (select all that apply):
  a. Sweating
  b. Nausea
  c. Chills
  d. Yawning

Question 2

A patient at 28 weeks' gestation was last seen in the prenatal clinic at 24 weeks' gestation. Which of the following changes should the nurse bring to the attention of the Certified Nurse Midwife?
 
  a. Weight change from 128 pounds to 132 pounds
  b. Pulse change from 88 bpm to 92 bpm
  c. Blood pressure change from 110/70 to 140/90
  d. Respiratory change from 16 rpm to 20 rpm

[pratush dev]

Answer to Question 1

ANS: a, b, d
Sweating is a warning sign that often precedes syncope. Syncope (a trandient loss of consciousness and postural tone with spontaneous recovery) during pregnancy is frequently attributed to orthostatic hypotension or inferior vena cava compression by the gravid uterus. Nausea and yawning are warning signs that often precede syncope. Lightheadedness, sweating, nausea, yawning, and feelings of warmth are warning signs that often precede syncope. Chills are not a warning sign that often precede syncope.

Answer to Question 2

ANS: c
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a. A weight change of approximately 4 pounds in 4 weeks is normal in the second and third trimesters of pregnancy.
b. This pulse rate change is within normal limits.
c. A blood pressure elevation to 140/90 is a sign of mild preeclampsia.
d. This respiratory rate change is within normal limits.