Maternal Disorders

Maternal Disorders Related

Review Maternal Disorders related questions and content

A 20-year-old college student expresses concern over the recent appearance of genital warts, an assessment finding her primary care provider confirms as attributable to HPV infection. Which client education should be included?

  • A. It's important to start treatment as soon as possible, so you will receive a prescription for pills today.
  • B. There is a chance that the genital warts will clear up on their own without any treatment.
  • C. I recommend receiving an HPV vaccination today.
  • D. Unfortunately, this is going to greatly increase your chance of developing pelvic inflammatory disease.
Correct Answer: B

Rationale: The correct answer is B: There is a chance that the genital warts will clear up on their own without any treatment.

Rationale:
1. Genital warts caused by HPV can sometimes resolve spontaneously without treatment.
2. This option emphasizes the possibility of self-resolution, which is a common occurrence.
3. Encouraging observation without immediate treatment aligns with current guidelines for managing HPV-related genital warts.
4. Avoiding unnecessary treatment helps prevent potential side effects and reduces healthcare costs.

Summary of Incorrect Choices:
A: Incorrect because immediate treatment is not always necessary for genital warts caused by HPV.
C: Incorrect because HPV vaccination does not treat existing HPV infections, including genital warts.
D: Incorrect because developing pelvic inflammatory disease is not directly related to the presence of genital warts caused by HPV.

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A client has an HSV-2 infection. The nurse recognizes that which of the following should be included in teaching the patient?

  • A. The virus causes cold sores of the lips.
  • B. Treatment is focused on relieving symptoms.
  • C. The virus is cured with antibiotics.
  • D. The virus is transmitted only when visible lesions are present.
Correct Answer: B

Rationale: The correct answer is B because HSV-2 is a sexually transmitted infection that causes genital herpes. Treatment focuses on managing symptoms like antiviral medications, not curing the virus. Explanation of other choices: A is incorrect because HSV-2 causes genital sores, not cold sores on the lips. C is incorrect because antibiotics do not cure viral infections. D is incorrect because HSV-2 can be transmitted even when there are no visible lesions through asymptomatic shedding.

A 32-week-gestation client was last seen in the prenatal clinic at 28 weeks' gestation. Which of the following changes should the nurse bring to the attention of the certified nurse midwife?

  • A. Weight change from 128 pounds to 138 pounds.'
  • B. Pulse rate change from 88 bpm to 92 bpm.'
  • C. Blood pressure change from 120/80 to 118/78.'
  • D. Respiratory rate change from 16 rpm to 20 rpm.'
Correct Answer: A

Rationale: The correct answer is A because a weight gain of 10 pounds in 4 weeks for a 32-week-gestation client is excessive and may indicate a potential issue such as gestational diabetes or preeclampsia.
B: The pulse rate change is within a normal range for pregnancy.
C: The blood pressure change is minimal and still within normal limits.
D: The respiratory rate change is also within normal limits for pregnancy.

The nurse is teaching a woman receiving adjuvant hormonal therapy on how she can manage her side effects and symptoms. Which education and teaching will the nurse include? Select all that apply.

  • A. Wear layered clothing and avoid caffeine and spicy foods to help relieve hot flashes
  • B. Decrease vaginal dryness by using vaginal moisturizers such as Replens or vitamin E suppositories daily
  • C. Manage nausea and vomiting by consuming a bland diet and taking medication first thing in the morning.
  • D. Ease musculoskeletal symptoms with warm baths and nonsteroidal analgesics
Correct Answer: B

Rationale: The correct answer is B. Vaginal dryness is a common side effect of hormonal therapy. Using vaginal moisturizers like Replens or vitamin E suppositories can help alleviate this symptom by providing moisture and lubrication. This intervention can improve the woman's comfort and quality of life during treatment.

Choice A is incorrect because wearing layered clothing and avoiding caffeine and spicy foods are strategies typically recommended for managing hot flashes, not vaginal dryness.

Choice C is incorrect as managing nausea and vomiting with a bland diet and medication is not directly related to the management of side effects of hormonal therapy like vaginal dryness.

Choice D is incorrect as warm baths and nonsteroidal analgesics are more commonly used to ease musculoskeletal symptoms, not specifically for managing vaginal dryness.

When performing a breast assessment, the nurse is inspecting the woman’s skin for which of the following? Select all that apply.

  • A. Color
  • B. Thickening
  • C. Size and symmetry
  • D. Venous pattern
Correct Answer: A

Rationale: The correct answer is A: Color. When performing a breast assessment, inspecting the skin color is important to assess for any signs of redness, bruising, or discoloration which could indicate underlying issues. Thickening (B) is assessed through palpation, not inspection. Size and symmetry (C) is evaluated by comparing the breasts visually and through measurement. Venous pattern (D) is not typically a primary focus of skin inspection during a breast assessment.

The test used to screen for gestational diabetes is the:

  • A. Glycosylated hemoglobin test.
  • B. Glucose challenge test.
  • C. Oral glucose tolerance test.
  • D. Postprandial glucose test.
Correct Answer: B

Rationale: The correct answer is B: Glucose challenge test. This test is used to screen for gestational diabetes as it involves drinking a glucose solution and measuring blood sugar levels afterward. This test is specifically designed to assess how well the body processes sugar during pregnancy. The other choices are incorrect because:
A: Glycosylated hemoglobin test measures average blood sugar levels over the past 2-3 months and is not specific for gestational diabetes.
C: Oral glucose tolerance test is used to diagnose gestational diabetes, not to screen for it.
D: Postprandial glucose test measures blood sugar levels after a meal and is not the recommended screening test for gestational diabetes.

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