Maternity Nursing Q 150
When evaluating a client’s knowledge of symptoms to report during her pregnancy, which statement would indicate to the nurse in charge that the client understands the information given to her?
A. “I’ll report increased frequency of urination.”
B. “If I have blurred or double vision, I should call the clinic immediately.”
C. “If I feel tired after resting, I should report it immediately.”
D. “Nausea should be reported immediately.”
Correct Answer: B. “If I have blurred or double vision, I should call the clinic immediately.”
Blurred or double vision may indicate hypertension or preeclampsia and should be reported immediately. It can affect the visual pathways, from the anterior segment to the visual cortex.
Option A: Urinary frequency is a common problem during pregnancy caused by increased weight pressure on the bladder from the uterus. The anatomical and physiological changes affecting the lower urinary tract in pregnancy, as well as the hormonal milieu of pregnancy, have been postulated to underlie the pathogenesis of lower urinary symptoms in pregnancy
Option C: Clients generally experience fatigue during pregnancy. Pregnancy is accompanied by several psychological, emotional, and physical changes that may predispose the woman to fatigue, which can range from mild tiredness to severe exhaustion.
Option D: The pathophysiology of nausea and vomiting during early pregnancy is unknown, although metabolic, endocrine, GI, and psychologic factors probably all play a role. Estrogen may contribute because estrogen levels are elevated in patients with hyperemesis gravidarum.