Practice Quiz

NCLEX-RN

Category - Health Promotion

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The nurse is assessing an 18-year-old client at 12 weeks gestation for the first time. Which statement, if made by the client, suggests further evaluation?
  1. “I think I was having some uterine contractions the other day, but it wasn’t painful. Every time I walk or move around they just stop.”
  2. “I get tired easily. I just want to lie in bed all day and sleep.”
  3. “I’ve been craving different sorts of food for the past few weeks. My cravings change from one day to the next, though.”
  4. “I feel so ugly. My face looks puffed up.”
Explanation
Answer -D - A “puffed up” face is associated with facial edema, which indicates pregnancy-induced hypertension. The client’s age and the lack of early prenatal care increase her risk of pregnancy-induced hypertension. Option A refers to Braxton-Hicks contractions, which usually begin on the 12th week. Options B and C are common occurrences during pregnancy; they are associated with hormonal changes.
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