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1. A nurse is assessing a client who is at 33 weeks of gestation. Which of the
following findingsshould the nurse report to the provider?
a. Epigastric pain: The nurse should notify the provider of the client's report of
epigastric pain because this is a manifestation of preeclampsia. Other
findings the nurse should report include severe headache, blurred vision,
confusion, nausea and vomiting, and decreased urinary output.
b. Leukorrhea: Leukorrhea, or vaginal discharge, is an expected finding
throughout pregnancy. Leukorrhea increases during pregnancy due to
hypertrophy of the cervix, which increases the amount of mucus secreted
from the vagina.
c. Excessive salivation: Ptyalism, or excessive salivation, is an expected
finding in pregnancy. Increased levels of estrogen cause an increase in the
production of saliva.
d. Darkening of the skin on the face: Hyperpigmentation on the face, or
melasma, is an expected finding during pregnancy. The anterior pituitary
gland increases the production of melanocyte-stimulating hormone,
causing anincrease in pigmentation of the skin.
2. A nurse is assessing a newborn following a circumcision 48 hr ago. The nurse
should identifythat yellow exudate covering the newborn's glans penis indicates
which of the following?
a. Wound infection: Infected circumcision wounds appear swollen with a
purulent discharge.
b. Ulceration: Yellow exudate following a circumcision is not a manifestation of
an ulceration.
c. Exposure to urine: Yellow exudate is not a manifestation resulting from the
wound being exposed to urine.
d. Healing: After 24 hours, yellow exudate usually forms over the
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