Physiological Changes In Pregnancy Essay Assignment Paper

Posted on March 29, 2023

Physiological Changes In Pregnancy Essay Assignment Paper

Question

A. Physiological Changes in Pregnancy – Describe at least four (4) major changes in the system and at least two nursing interventions used to support the patient with the change in the body.

1. Reproductive System –

2. Respiratory System –

3. Cardiovascular System –

4. Gastrointestinal System

5. Urinary System –

6. Integumentary System –

7. Musculoskeletal System –

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B. NCLEX questions: Physiological Changes In Pregnancy Essay Assignment Paper

1. At her prenatal visit at 34 weeks gestation, a patient confides that she has noticed an increase in vaginal discharge. The nurse’s response should be to:

A. Advise her to wash with non irritating soap three times a day.

B. Advise her to abstain from sexual intercourse.

C. Ask her if the discharge is irritating or itchy.

D. Ask her to buy an over-the-counter medication for treatment.

 

2. The nurse is observing a woman who is at 20 weeks’ gestation. The nurse would expect the fundus to be:

A. At the level of the symphysis pubis

B. Midway between the symphysis pubis and the umbilicus

C. At the level of the umbilicus

D. Above the umbilicus

3. A woman arrives for her prenatal appointment at 36 weeks’ gestation. Which discomfort of pregnancy does the nurse expect?

A. Nausea

B. Tender breasts

C. Headache

D. Backache

4. A woman in her second trimester of pregnancy is discussing her relationship with her mother and how happy she is that her mother is “excited about becoming a grandmother.” According to Rubin (1984) and Mercer (2004), this patient is completing which task of pregnancy?

A. Ensuring a safe passage for herself and her fetus

B. Seeking acceptance of the child by others

C. Learning to give of self and to accept herself as a mother to an infant

D. Committing herself to the child

 

PLEASE HELP ME ANSWER ALL QUESTION. THANK YOU.

Expert Answer

This solution was written by a subject matter expert. It’s designed to help students like you learn core concepts.

Step-by-step

Step 1/11
A. Physiological Changes in Pregnancy –
Reproductive System – During pregnancy, the uterus undergoes significant changes in preparation for the growth and development of the fetus. As the uterus expands, it puts pressure on the bladder, leading to increased urination frequency. Additionally, there is an increase in blood flow to the uterus, which can cause vaginal discharge and varicose veins. Nursing interventions to support the patient with these changes may include providing education on proper perineal hygiene, encouraging regular exercise, and promoting a healthy diet.
Step 2/11
Respiratory System – Pregnancy can cause an increase in oxygen demand, leading to an increase in respiratory rate and depth. Additionally, the uterus can put pressure on the diaphragm, making it more difficult to breathe. Nursing interventions to support the patient with these changes may include encouraging regular exercise, providing education on proper breathing techniques, and monitoring for signs of respiratory distress.
Step 3/11
Cardiovascular System – During pregnancy, the body increases blood volume and cardiac output to support the growing fetus. This can lead to increased heart rate, decreased blood pressure, and varicose veins. Nursing interventions to support the patient with these changes may include monitoring blood pressure and heart rate, promoting a healthy diet and exercise routine, and providing education on proper leg and foot care to prevent venous stasis.
Step 4/11
Gastrointestinal System – Pregnancy can cause an increase in hormones that slow down the digestive process, leading to constipation and heartburn. Additionally, the growing uterus can put pressure on the stomach, causing nausea and vomiting. Nursing interventions to support the patient with these changes may include providing education on proper nutrition and hydration, encouraging regular exercise, and prescribing medications to alleviate symptoms.
Step 5/11
Urinary System – During pregnancy, the body produces more urine due to the increased blood volume and pressure on the bladder. This can lead to urinary incontinence and urinary tract infections. Nursing interventions to support the patient with these changes may include providing education on proper bladder care and hygiene, prescribing medications to alleviate symptoms of urinary tract infections, and encouraging regular pelvic floor exercises.
Step 6/11
Integumentary System – Pregnancy can cause changes to the skin, including stretch marks, increased pigmentation, and acne. Nursing interventions to support the patient with these changes may include providing education on proper skin care, prescribing topical medications to alleviate symptoms, and promoting a healthy diet and exercise routine to support skin health.
Step 7/11
Musculoskeletal System – During pregnancy, the body produces more relaxin, a hormone that loosens ligaments and joints in preparation for childbirth. This can lead to back pain and increased risk of injury. Nursing interventions to support the patient with these changes may include providing education on proper posture and body mechanics, prescribing physical therapy or chiropractic care, and encouraging regular exercise to strengthen muscles and improve flexibility.
Step 8/11
B. NCLEX questions: Physiological Changes In Pregnancy Essay Assignment Paper
1. At her prenatal visit at 34 weeks gestation, a patient confides that she has noticed an increase in vaginal discharge. The nurse’s response should be to:
The correct response is C. Ask her if the discharge is irritating or itchy. The nurse should ask follow-up questions to determine the characteristics of the discharge, such as color, odor, and consistency, and assess for signs of infection. Advising the patient to wash with non-irritating soap or buy over-the-counter medication without further assessment could lead to inappropriate treatment and possible harm to the patient and fetus.
Step 9/11
2. The nurse is observing a woman who is at 20 weeks’ gestation. The nurse would expect the fundus to be:
The correct response is C. At the level of the umbilicus. At 20 weeks’ gestation, the fundus (top of the uterus) is expected to be at the level of the umbilicus. This is an important assessment to monitor fetal growth and development.
Step 10/11
3. A woman arrives for her prenatal appointment at 36 weeks’ gestation. Which discomfort of pregnancy does the nurse expect?
The correct response is D. Backache. Backache is a common discomfort during the third trimester of pregnancy due to the added weight and strain on the back muscles from the growing fetus. Nausea and tender breasts are more common during the first trimester, and headaches can occur throughout pregnancy.
Step 11/11
4. A woman in her second trimester of pregnancy is discussing her relationship with her mother and how happy she is that her mother is “excited about becoming a grandmother.” According to Rubin (1984) and Mercer (2004), this patient is completing which task of pregnancy?

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The correct response is B. Seeking acceptance of the child by others. According to Rubin (1984) and Mercer (2004), the task of seeking acceptance of the child by others is a primary psychosocial task of pregnancy, particularly during the second trimester. This involves seeking support from family and friends and creating a social network to support the transition to motherhood. The other tasks listed (ensuring a safe passage for herself and her fetus, learning to give of self and accept herself as a mother, and committing herself to the child) are also important tasks of pregnancy, but they are associated with different stages of pregnancy.
Final answer
  1. A patient at 34 weeks gestation reports an increase in vaginal discharge. The nurse should assess the characteristics of the discharge, including whether it is irritating or itchy, before advising any treatment.
  2. At 20 weeks gestation, the fundus is expected to be at the level of the umbilicus.
  3. Backache is a common discomfort during the third trimester of pregnancy.
  4. A patient discussing her relationship with her mother and her excitement about becoming a grandmother is completing the task of seeking acceptance of the child by others, which is a primary psychosocial task of pregnancy during the second trimester. Physiological Changes In Pregnancy Essay Assignment Paper

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