NUR2513-EXAM 1 MATERNAL-VEST 2 LATEST VERSIONS (300 QUESTIONS AND CORRECT ASWERS ANSWERS) |AGRADE RASMUSSEN COLLEGE 

VERSION A
While the vital signs of a pregnant client in her third trimester are being assessed, the client
complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?
a. Have the stand up and retake her blood pressure.
b. Have client the client sit down and hold her arm in a dependent position.
c. Have the client turn to her left side and recheck her blood pressure in 5 minutes.
d. Have the client lie supine for 5 minutes and recheck her blood pressure on both arms.
Blood pressure is affected by positions during pregnancy. The supine position may cause
occlusion of the vena cava and descending aorta. Turning the pregnant woman to a lateral
recumbent position alleviates pressure on the blood vessels and quickly corrects supine
hypotension. Pressures are significantly higher when the patient is standing. This would cause an
increase in systolic and diastolic pressures. The arm should be supported at the same level of the
heart. The supine position may cause occlusion of the vena cava and descending aorta, creating
hypotension.
2
A pregnant client has come to the emergency department with complaints of nasal congestion
and epistaxis. Which is the correct interpretation of these symptoms by the health care provider?
a. Nasal stuffiness and nosebleeds are caused by a decrease in progesterone.
b. These conditions are abnormal. Refer the client to an ear, nose, and throat specialist.
c. Estrogen relaxes the smooth muscles in the respiratory tract, so congestion and epistaxis are
within normal limits.
d. Estrogen causes increased blood supply to the mucous membranes and can result in
congestion and nosebleeds.
As capillaries become engorged, the upper respiratory tract is affected by the subsequent edema
and hyperemia, which causes these conditions, seen commonly during pregnancy. Progesterone
is responsible for the heightened awareness of the need to breathe in pregnancy. Progesterone
levels increase during pregnancy. The client should be reassured that these symptoms are within