A woman is in her seventh month of pregnancy. She has been reporting nasal congestion and occasional epistaxis. The nurse suspects that:

Correct Answer: A

Rationale: Rationale: A: Correct. Nasal congestion and epistaxis are common in pregnancy due to increased estrogen causing mucosal swelling and vasodilation. B: Incorrect. Nosebleeds are not typically indicative of cardiovascular issues in pregnancy. C: Incorrect. There is no evidence to suggest domestic violence based on the symptoms provided. D: Incorrect. Cocaine use would have more severe implications beyond just nasal congestion and epistaxis in pregnancy.

Correct Answer: A

Rationale: The correct answer is A: primipar. A primipar refers to a woman who has completed one pregnancy with a fetus reaching the stage of fetal viability. This term specifically indicates that the woman has given birth to at least one viable fetus. Explanation: 1. Primipar specifically refers to the number of completed pregnancies, indicating one pregnancy with a viable fetus. 2. Primigravida (B) refers to a woman who is pregnant for the first time and has not yet given birth. 3. Multipara (C) refers to a woman who has completed two or more pregnancies resulting in viable offspring. 4. Nulligravida (D) refers to a woman who has never been pregnant. In summary, the correct answer, primipar, is the most accurate term to describe a woman who has completed one pregnancy with a fetus reaching the stage of fetal viability, distinguishing her from the other choices.

Correct Answer: A

Rationale: The correct answer is A because hCG can be detected in the blood as early as 2.5 weeks after conception. This is because hCG is produced by the placenta shortly after implantation of the fertilized egg in the uterus. The other choices are incorrect. B is incorrect because hCG levels do not increase gradually and uniformly; they rise rapidly in early pregnancy and peak around 8-11 weeks before stabilizing. C is incorrect because lower than normal increases in hCG may indicate a potential issue with the pregnancy, such as a possible miscarriage, rather than a postdate pregnancy. D is incorrect because a higher than normal level of hCG may indicate conditions such as a molar pregnancy or twins, not necessarily ectopic pregnancy or Down syndrome.

Correct Answer: D

Rationale: The correct answer is D because increased vascularity of the vagina during pregnancy leads to heightened sensitivity and can result in increased arousal, especially in the second trimester. This is due to increased blood flow and hormonal changes affecting the vaginal tissues. This physiological response is a normal part of pregnancy and can enhance sexual experiences for some women. A is incorrect because changes in the cervix do not impact the evaluation of abnormal Pap tests. B is incorrect as quickening refers to the first perception of fetal movements by the pregnant woman, not palpating the fetus. C is incorrect as Chadwick's sign, the deepening color of the vaginal mucosa and cervix, typically appears in the first trimester, not the second trimester.

Correct Answer: A

Rationale: Rationale for Correct Answer A: 1. Montgomery's tubercles are sebaceous glands on the areola. 2. Blood vessels becoming visible indicates increased blood supply due to hormonal changes during pregnancy. 3. The intertwining blue network reflects full function of Montgomery's tubercles. 4. Infection may cause inflammation and increased visibility of blood vessels. Summary of Incorrect Choices: B: Incorrect, mammary glands develop during puberty, not right before labor. C: Incorrect, lactation is primarily influenced by prolactin, not estrogen. D: Incorrect, colostrum is a thick, yellowish fluid containing antibodies, not an oily substance for lubrication.