A 28-year-old patient who is pregnant with her first child ...

[bclement10]

A 28-year-old patient who is pregnant with her first child reports increased dental caries (cavities) since becoming pregnant. How should the nurse explain the likely cause for this change?
 
  1. When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting cavities.
  2. It may be necessary to pay extra attention to dental care while you're pregnant, especially if you're vomiting frequently.
  3. Each woman experiences changes that affect her teeth while she's pregnant.
  4. During pregnancy, tooth enamel softens and the woman is more susceptible to getting cavities.

Question 2

The nurse has completed a presentation for newly-pregnant women about the changes of pregnancy. Which participant's statement reflects accurate comprehension of the information?
 
  1. A positive Goodell's sign is a probable change of pregnancy.
  2. Three positive pregnancy tests in a one week period is considered to be a positive change of pregnancy.
  3. Uterine souffle is a positive change of pregnancy.
  4. Changes in the pelvic organs are presumptive signs of pregnancy.

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Answer to Question 1

Correct Answer: 2
Rationale 1: No demonstrable changes occur in the teeth of pregnant women.
The dental caries that sometimes accompany pregnancy are probably
caused by inadequate oral hygiene and dental care, especially if the
woman has problems with bleeding gums or nausea and vomiting.
Rationale 2: The dental caries that sometimes accompany pregnancy are probably
caused by inadequate oral hygiene and dental care, especially if the
woman has problems with bleeding gums or nausea and vomiting.
Rationale 3: No demonstrable changes occur in the teeth of pregnant women.
Rationale 4: The dental caries that sometimes accompany pregnancy are probably
caused by inadequate oral hygiene and dental care, especially if the
woman has problems with bleeding gums or nausea and vomiting.

Answer to Question 2

Correct Answer: 1
Rationale 1: A positive Goodell's sign can be objectively identified but may also be caused by conditions other than pregnancy; therefore, it is considered to be a probable change of pregnancy.
Rationale 2: Because other conditions may cause elevated hCG, pregnancy tests are considered probable changes of pregnancy.
Rationale 3: Because uterine souffle can be objectively identified but may be caused by conditions other than pregnancy, it is considered to be a probable change of pregnancy.
Rationale 4: Changes in the pelvic organs can be objectively identified; however, because some pelvic organ changes may be associated with conditions other than pregnancy, they are considered to be probable changes of pregnancy.

[bclement10]

Excellent

[Sarahjh]

TYSM