ATI RN
Anatomy and Physiology of Pregnancy Questions
Question 1 of 5
Now in her second trimester of pregnancy, the client, who was a marathon runner before nausea and overwhelming tiredness kept her from exercising regularly, is wondering whether she can run now. What is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B: "Your level of exercise will be somewhat modified by the changes occurring in your body." Rationale: 1. Pregnancy impacts a woman's body significantly, including changes in hormones, weight distribution, and center of gravity. 2. These changes can affect a woman's ability to engage in high-impact activities like running. 3. The nurse's response acknowledges the need for modification in exercise routine to accommodate these changes. 4. It promotes a balanced approach to exercise during pregnancy, considering both the benefits of physical activity and the safety of the mother and baby. Summary of Other Choices: A: "Certainly, if you feel up to it." - This response oversimplifies the situation and does not consider the specific physiological changes during pregnancy that may impact the woman's ability to run safely. C: "Your primary health care provider will need to give you permission." - While consulting a healthcare provider is important, this response does not address the specific concerns related to exercise during pregnancy.
Question 2 of 5
A woman who is primigravida is complaining of leg cramps. Which statement by the nurse best describes how to provide relief from this discomfort?
Correct Answer: B
Rationale: The correct answer is B: Dorsiflex the foot to relieve the cramping. Dorsiflexing the foot, which involves pulling the toes towards the shin, helps to stretch the calf muscle and alleviate cramping. This action targets the specific muscle group affected by leg cramps. A: Incorrect. Stretching by extending both legs and touching your toes may not directly target the calf muscle. C: Incorrect. Elevating the leg above the heart is more suitable for reducing swelling, not necessarily relieving leg cramps. D: Incorrect. Plantar flexing the foot (pointing toes away from the shin) may worsen the cramping as it contracts the calf muscle further.
Question 3 of 5
A client in her third trimester reports increased perineal pressure. Which is the clinical cause for this complaint?
Correct Answer: A
Rationale: The correct answer is A: Fundal height. In the third trimester, the growing uterus causes increased pressure on the pelvic organs, leading to perineal pressure. Fundal height measures the height of the uterus and correlates with gestational age, indicating the position and size of the fetus. As the uterus grows, fundal height increases, causing pressure on the perineal area. Urinary infection (B) can cause discomfort but would present with other symptoms like burning urination. Constipation (C) may cause discomfort but typically does not lead to increased perineal pressure. Hydramnios (D) refers to excess amniotic fluid, which can lead to abdominal distension but is not directly related to perineal pressure.
Question 4 of 5
A client at 10 weeks gestation is being seen by the nurse. The client reports that she has nausea and vomiting each morning. Which is the nurse's best response?
Correct Answer: B
Rationale: The correct answer is B: Eat crackers before you get out of bed. This is the best response because eating crackers before getting out of bed can help alleviate nausea and vomiting associated with morning sickness in early pregnancy. The crackers can help stabilize blood sugar levels and settle the stomach. Drinking a large glass of milk (choice A) may exacerbate nausea for some individuals. Eating dinner before 6:00 p.m. (choice C) is not directly related to morning sickness. Eating small meals during the day (choice D) is generally a good strategy, but specifically eating crackers before getting out of bed is more effective for morning sickness.
Question 5 of 5
The woman who is primigravida is in the clinic for her first prenatal visit. She states that she has experienced dizziness when she gets out of bed and sometimes when she stands up from a sitting position. What is the reason for this?
Correct Answer: B
Rationale: The correct answer is B: She is standing up too quickly and must be careful to avoid injury. When a person stands up quickly, blood pools in the lower extremities, causing a momentary drop in blood pressure. This sudden drop can lead to dizziness or lightheadedness. This phenomenon is known as orthostatic hypotension. It is common during pregnancy due to the hormonal and physiological changes that affect blood pressure regulation. Explanation for why other choices are incorrect: A: She is experiencing hypoglycemia from being diabetic - There is no information provided in the scenario to suggest that the woman is diabetic or experiencing low blood sugar levels. C: She needs to drink more fluids to prevent orthostatic hypotension and it will clear up soon - While staying hydrated is important, simply drinking more fluids may not address the underlying issue of orthostatic hypotension caused by rapid changes in position. D: She is not getting enough exercise, so circulation to the