Physiologic anemia often occurs during pregnancy due to

Correct Answer: C

Rationale: Physiologic anemia during pregnancy occurs due to the dilution of hemoglobin concentration. As blood volume increases more than red blood cell production, hemoglobin becomes more diluted, leading to lower hemoglobin levels. Inadequate iron intake (A) can cause iron-deficiency anemia, not physiologic anemia. The fetus establishing iron stores (B) is not a cause of anemia in the mother. Decreased production of erythrocytes (D) is not the primary reason for physiologic anemia during pregnancy.

Correct Answer: C

Rationale: The correct answer is C because pseudoanemia of pregnancy is a normal physiological change where the blood volume expands more rapidly than red blood cell production, leading to a relative decrease in the concentration of red blood cells. By informing the patient that due to the pregnancy, her blood volume has increased, the nurse is addressing the underlying cause of the condition. This explanation reassures the patient that the pseudoanemia is a common occurrence during pregnancy and does not indicate a true anemia requiring treatment. Choice A is incorrect as it does not address the patient's concerns about pseudoanemia and delays providing a clear explanation. Choice B is incorrect because pseudoanemia does not require a high-iron diet for correction. Choice D is incorrect as prescribing iron pills is unnecessary for pseudoanemia, which is a normal variant of pregnancy.

Correct Answer: C

Rationale: Rationale: - Choice C is correct because heartburn is a common symptom during pregnancy due to hormonal changes and pressure from the growing uterus. - The nurse should educate the patient that experiencing heartburn is a normal physiological response during pregnancy. - It is important for the nurse to reassure the patient that her symptoms are expected and not a cause for concern. - Choices A, B, and D are incorrect as they do not address the normalcy of heartburn during pregnancy and may cause unnecessary worry or unnecessary interventions.

Correct Answer: D

Rationale: The correct answer is D: Prolonged emptying time. During pregnancy, hormonal changes can lead to gallbladder stasis, causing bile to become concentrated and leading to the formation of gallstones. Prolonged emptying time indicates poor gallbladder motility, increasing the risk of gallstone formation. A: Decrease in alkaline phosphatase levels is not directly related to gallstone formation during pregnancy. B: Increase in albumin and total protein is a common finding in pregnancy due to hemodilution, but it is not directly linked to gallstone development. C: Hypertonicity of gallbladder tissue is not a typical physiologic finding related to gallbladder function during pregnancy and is not a known risk factor for gallstone formation.

Correct Answer: C

Rationale: The correct answer is C because scheduling the patient to be seen by a healthcare provider within the next 4 weeks is important for further evaluation and management of the patient's amenorrhea. This timeline allows for timely assessment and potential interventions if needed. Choice A is incorrect as simply having a positive urine hCG test does not provide enough information on its own to determine the appropriate nursing action. Choice B is incorrect as asking about nausea or vomiting does not address the need for a comprehensive assessment and evaluation of the patient's amenorrhea. Choice D is incorrect as sending the patient to the maternity screening area assumes a pregnancy-related issue without proper evaluation and could lead to unnecessary testing or interventions.