A nurse is reviewing the laboratory results for a prenatal client. She notices that her hemoglobin is 10.5. The nurse realizes this laboratory result indicates which of the following?

Correct Answer: B

Rationale: The correct answer is B because a hemoglobin level of 10.5 indicates a decrease in hemoglobin concentration, which is typically caused by an increase in plasma volume during pregnancy. This dilution effect results in a lower concentration of red blood cells in the blood, leading to lower hemoglobin levels. This physiological change is normal during pregnancy and is known as physiological anemia. Choice A is incorrect because low vitamin intake would not directly result in a decrease in red blood cell production leading to low hemoglobin levels. Choice C is incorrect because a hemoglobin level of 10.5, although lower than normal, does not necessarily indicate a serious problem that would harm the fetus. Choice D is incorrect because a repeat blood test is not immediately necessary to confirm anemia as the low hemoglobin level can be explained by the normal increase in plasma volume during pregnancy.

Correct Answer: A

Rationale: Step 1: The correct answer is A because it provides accurate information. Intercourse during pregnancy is generally safe as long as there are no complications, and the baby is well protected by the amniotic fluid and membranes. Step 2: The membranes act as a barrier to protect the baby, and as long as there are no signs of preterm labor, intercourse should not harm the baby. Step 3: Option B is incorrect because there is no evidence to support that female orgasm during intercourse could harm the baby. Option C is incorrect as there is no need to avoid experimenting with different positions unless advised by a healthcare provider. Option D is incorrect as it oversimplifies the situation and doesn't provide accurate information.

Correct Answer: A

Rationale: The correct answer is A, changes in the cervix. Goodell's sign refers to the softening of the cervix that occurs during early pregnancy due to increased vascularity and hormonal changes. This sign is an important indicator of pregnancy and is typically observed during the first trimester. Choice B, changes in the uterus, is incorrect because Goodell's sign specifically refers to changes in the cervix, not the uterus as a whole. Choice C, passive movement of an unengaged fetus, is incorrect as Goodell's sign is not related to fetal movement. Choice D, fetus that has begun to descend and engage in the pelvis, is also incorrect as Goodell's sign occurs much earlier in pregnancy before the fetus engages in the pelvis.

Correct Answer: B

Rationale: The correct answer is B because when sitting with both feet on the floor, it promotes proper circulation and reduces the risk of developing varicose veins. Elevating legs and avoiding crossing them also help. Choice A is incorrect as knee-high hose may constrict circulation. Choice C is irrelevant to varicosities. Choice D is important for monitoring fetal health but not directly related to varicose veins.

Correct Answer: D

Rationale: The correct answer is D: Avoid foods that contain a lot of fat. This is the best response because fatty foods can worsen heartburn and reflux by relaxing the lower esophageal sphincter, leading to acid reflux. By avoiding high-fat foods, the client can reduce the likelihood of experiencing heartburn and reflux symptoms. Rationale: 1. High-fat foods can delay stomach emptying, causing food to stay longer in the stomach, increasing the risk of reflux. 2. Fatty foods can trigger the production of more stomach acid, exacerbating heartburn and reflux. 3. Avoiding high-fat foods can help decrease pressure on the stomach, reducing the likelihood of acid reflux. 4. Other options (A, B, C) do not address the root cause of heartburn and reflux associated with high-fat foods. In summary, choosing option D to avoid high-fat foods is the most appropriate response to help alleviate the client's heartburn and reflux symptoms during pregnancy.