A nurse is assessing a pregnant client during the third trimester. What clinical finding is an expected response to the pregnancy?*1 pointa. Tachycardiab. Dyspnea at restc. Progressive dependent edemad. Shortness of breath on exertion
Question
A nurse is assessing a pregnant client during the third trimester. What clinical finding is an expected response to the pregnancy?*1 pointa. Tachycardiab. Dyspnea at restc. Progressive dependent edemad. Shortness of breath on exertion
Solution
During pregnancy, especially in the third trimester, the body undergoes several changes to accommodate the growing fetus. Among the options provided:
a. Tachycardia: While heart rate may increase slightly during pregnancy, tachycardia (a significantly faster-than-normal heart rate) is not a typical response and could indicate a problem.
b. Dyspnea at rest: This is not a normal response to pregnancy. While some shortness of breath is common due to the growing uterus pushing on the diaphragm, dyspnea at rest could be a sign of a more serious condition.
c. Progressive dependent edema: While some swelling in the feet and ankles is common in pregnancy due to increased fluid in the body, progressive dependent edema (swelling that worsens throughout the day) could be a sign of a problem like preeclampsia.
d. Shortness of breath on exertion: This is a common and expected response to pregnancy, especially in the third trimester. As the uterus grows, it pushes on the diaphragm, making it harder for the lungs to fully expand and leading to shortness of breath, especially during physical activity.
So, the answer is d. Shortness of breath on exertion.
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