Respiratory Changes in pregnancy

Respiratory Changes in pregnancy ( 5 Questions)

A woman is in her seventh month of pregnancy.

She has been complaining of nasal congestion and occasional epistaxis.

The nurse suspects that:.



Correct Answer: A

This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. Estrogen increases the blood volume and the vascularity of the nasal mucosa, making it more prone to congestion and bleeding. This condition is called pregnancy rhinitis and affects up to 39% of pregnant people. It usually resolves within 10 days after delivery.

Choice B is wrong because nasal congestion and epistaxis are not signs of cardiovascular problems in pregnancy. They are common and benign symptoms that do not indicate any complications.

Choice C is wrong because there is no evidence that the woman is a victim of domestic violence.

Domestic violence is a serious issue that should not be assumed without proper assessment and screening.

If there are any signs of physical or emotional abuse, the nurse should provide support and referral to appropriate resources.

Choice D is wrong because cocaine use is not a likely cause of nasal congestion and epistaxis in pregnancy.

Cocaine can cause damage to the nasal septum and mucosa, but it would also cause other symptoms such as agitation, tachycardia, hypertension, and fetal distress. Cocaine use in pregnancy is associated with increased risks of miscarriage, preterm labor, placental abruption, and fetal growth restriction.

The nurse should ask about substance use history and offer counseling and treatment if




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