Which statement by a woman who is 8 weeks pregnant and has cardiac disease would you most likely follow up closely? “I have been really constipated for the last few weeks.” “I have gained 4 lb during the last week, but I’m not eating more than before.” “I have not felt any fetal movement as yet.” “I have had episodes in the morning when I have almost thrown up.”
Question
Which statement by a woman who is 8 weeks
pregnant and has cardiac disease would you most likely follow up closely?
“I have been really constipated for the last few weeks.” “I have gained 4 lb during the last week, but I’m not eating more than before.” “I have not felt any fetal movement as yet.” “I have had episodes in the morning when I have almost thrown up.”
Solution
The statement that would most likely require close follow-up is: “I have gained 4 lb during the last week, but I’m not eating more than before.” This could indicate fluid retention, which can be a sign of worsening cardiac disease. Rapid weight gain is not typical in early pregnancy and could be a cause for concern, especially in someone with a pre-existing heart condition.
The other statements can be considered relatively normal for an 8-week pregnancy. Constipation and morning sickness are common symptoms in early pregnancy. Fetal movement is typically not felt until around 18-25 weeks of pregnancy, so it's not concerning that she hasn't felt any at 8 weeks.
Similar Questions
The nurse is assessing a pregnant client in her third trimester who is reporting a first-time occurrence of constipation. When asked why this is happening, what is the best response from the nurse?
A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?A. AmenorrheaB. Positive fetal cardiac activity on ultrasoundC. Enlarged uterusD. Auscultation of fetal heart tones
A healthy diet in pregnancy is needed to:
The nurse is aware that a client at 40 weeks’ gestation is experiencing true labor if:*1 pointA. cervical dilatation has occurredB. the pains become more noticeableC. her membranes have rupturedD. the fetal heart rate baseline decreases
31. During a client’s prenatal visit at 35 weeks’ gestation, she reports that she feels she is unable to breathe comfortably. The nurse bases the response on the fact that the client probably:*1 pointA. has a fetus in the breech presentation, which is decreasing the intrathoracic spaceB. has an elevated diaphragm, which is causing her to feel as though she is having difficulty breathingC. is experiencing shortness of breath associated with pregnancy and there are no appropriate nursing interventionD. is experiencing metabolic demands that are exceeding her oxygen consumption thus causing shortness of breath
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.