61. A client, who is 18 years old and primigravida, is attending a prenatal class on pregnancy discomforts and breastfeeding. Which statement, if given by the client, should indicate to a nurse that further teaching is needed?
61. A client, who is 18 years old and primigravida, is attending a prenatal class on pregnancy discomforts and breastfeeding. Which statement, if given by the client, should indicate to a nurse that further teaching is needed?
. "My areolas will get smaller and lighter in color."
. "My breasts may feel lumpy and get larger."
. "My breasts may be tender and swollen."
. "The nipples will get darker and more erect."
Test-Taking Tip
The key to this type of question is focusing on the answer that is incorrect, requiring the nurse to do additional teaching.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Health Promotion Programs
.
Answer 1 is correct because pregnancy causes the areolas to darken and enlarge. Answer 2 is incorrect because breast enlargement is caused by the influence of progesterone and estrogen. Nodularity is caused by an increase in the size of the mammary glands during the second trimester. Answer 3 is incorrect because breast tenderness and swelling are very common findings in pregnancy. Answer 4 is incorrect because pregnancy does cause darkening of the pigment in the nipples, and causes them to become more erectile.