Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?

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 response is C: "There is nothing to worry about." This answer acknowledges the patient's concerns while providing reassurance. By stating that there is nothing to worry about, the nurse addresses the patient's anxiety and helps alleviate her fears without dismissing them. Option A is too dismissive, B encourages the patient to share concerns but doesn't provide immediate reassurance, and D shifts the focus to the doctor instead of directly addressing the patient's worries.

Correct Answer: B

Rationale: The correct answer is B: Developing attachment with the baby. In the scenario described, the expectant patient's strong tie and attunement to the baby's temperament indicate the development of an emotional bond or attachment with the baby. This is an essential maternal task during pregnancy as it promotes maternal-infant bonding and prepares the mother for the caregiving role postpartum. A: Learning to give of herself - While important in motherhood, this choice doesn't specifically address the emotional bond being described in the scenario. C: Securing acceptance of the baby by others - This choice focuses on external factors rather than the maternal relationship with the baby. D: Seeking safe passage for herself and her baby - This choice pertains more to physical safety and well-being rather than the emotional connection between the mother and the baby.

Correct Answer: D

Rationale: The correct answer is D, the age of the daughter. The major factor in how the woman will respond as a grandmother is the age of her daughter because it directly impacts the circumstances and challenges the daughter may face as a young mother. The woman's age (choice A) and career (choice B) may influence her perspective and ability to support her daughter, but the daughter's age is the primary determinant. Being divorced (choice C) may also play a role in the woman's response, but it is not as significant as the daughter's age in this scenario.

Correct Answer: E

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.