Riddle time:. I have 4 legs in the morning,2 legs in the afternoon, and 3 legs at night​

Answer:

D

Explanation:

Among the given options, the nurse should identify breast tenderness (Option D) as an expected physiological adaptation to pregnancy.

During pregnancy, hormonal changes, particularly an increase in estrogen and progesterone, lead to breast changes. These changes include breast tenderness, swelling, and enlargement as the breasts prepare for milk production and breastfeeding.

Persistent nausea and vomiting (Option A) are common early pregnancy symptoms and may occur due to hormonal changes, but they are not considered an expected physiological adaptation for the entire duration of pregnancy. However, it is important to assess the severity and duration of nausea and vomiting, as persistent or severe cases may indicate a condition called hyperemesis gravidarum, which requires medical attention.

Rapid weight gain (Option B) may occur during pregnancy but should be monitored within acceptable ranges based on the woman’s pre-pregnancy weight and healthcare provider’s guidance. Excessive or inadequate weight gain can have implications for the health of both the mother and the baby and should be addressed and managed accordingly.

Decreased urinary frequency (Option C) is not an expected adaptation to pregnancy. In fact, pregnant women often experience an increased need to urinate due to hormonal changes, increased blood flow to the kidneys, and pressure on the bladder from the growing uterus. However, it is important to differentiate normal urinary frequency from symptoms of a urinary tract infection or other complications that require medical attention.

Therefore, the nurse should identify breast tenderness (Option D) as the expected physiological adaptation to pregnancy from the given options.

Final answer:

Breast tenderness is recognized as an expected physiological adaptation to pregnancy, caused by hormonal changes and increased blood volume to prepare for breastfeeding. Other options such as persistent nausea/vomiting, rapid weight gain, or decreased urinary frequency might indicate potential health issues during pregnancy.

Explanation:

In the scenario of a prenatal clinic where a nurse is conducting telephone triage, the nurse should identify breast tenderness as an expected physiological adaptation to pregnancy. During pregnancy, hormonal changes and increases in blood volume can result in breast enlargement and tenderness. This is a common and expected physiological adjustment that a female's body undergoes to prepare for breastfeeding post delivery. However, persistent nausea and vomiting may lead to dehydration and malnutrition and rapid weight gain can possibly indicate complications such as pre-eclampsia. Decreased urinary frequency is not typical during pregnancy, as hormonal changes often lead to increased urinary frequency. Therefore, client reports of breast tenderness are the most indicative of a normal pregnancy adaptation.

Learn more about Pregnancy Adaptation here:

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