A pregnant client notices that she is beginning to develop dark ...

[corkyiscool3328]

A pregnant client notices that she is beginning to develop dark skin patches on her face. She denies using any different type of facial products as a cleansing solution or makeup.
 
  What would the priority nursing intervention be in response to this situation?
 
  a. Refer the client to a dermatologist for further examination.
  b. Ask the client if she has been eating different types of foods.
  c. Take a culture swab and send to the lab for culture and sensitivity (C&S).
  d. Let the client know that this is a common finding that occurs during pregnancy.

Question 2

Which of these findings would indicate a potential complication related to renal function during pregnancy?
 
  a. Increase in glomerular filtration rate (GFR)
  b. Increase in serum creatinine level
  c. Decrease in blood urea nitrogen (BUN)
  d. Mild proteinuria

[ktidd]

Answer to Question 1

ANS: D
This condition is known as chloasma or melasma (mask of pregnancy) and is a result of pigmentation changes relative to hormones. It can be exacerbated by exposure to the sun. There is no need to refer to a dermatologist. Intake of foods is not associated with exacerbation of this process. There is no need for a C&S to be taken. The client should be assured that this is a normal finding of pregnancy.

Answer to Question 2

ANS: B
With pregnancy, one would expect the serum creatinine and BUN levels to decrease. An elevation in the serum creatinine level should be investigated. With pregnancy, the GFR increases because of increased renal blood flow and is thus a normal expected finding. A decrease in the blood urea nitrogen level and mild proteinuria are expected findings in pregnancy.

[corkyiscool3328]

Thank you

[ktidd]

No problemo