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30 January, 15:41

7. A pregnant client close to term comes in the clinic for an exam. The woman complains about experiencing shortness of breath. The nurse knows that this complaint can be explained as the: a. Fetus needs more oxygen now that his/her size is larger. b. Fundus of the uterus is high and pushing the diaphragm upwards. c. Woman is experiencing an allergic reaction because of high histamine levels. d. Oxygen partial pressure concentration is lower in the third trimester.

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  1. 30 January, 15:57
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    The answer is option b. Fundus of the uterus is high and pushing the diaphragm upwards.

    Explanation:

    As pregnancy progresses, there is an increase in the size of the uterus (fundal height) to accommodatee the growing baby. The result is pressure of the fundus of the uterus on the diaphragm with resultant reduction in the capacity of the lungs. The hormone progesterone is secreted to stimulate the respiratory centres to enable lower breath intake which leads to shortness of breath.
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