Nokea
A 24 years old G2P1A0 had last menstrual period 9 weeks ago. She presents with bleeding and passage of tissues pervaginum. Bleeding is associated with lower abdominal pain. The most likely diagnosis is:
- A. Threatened abortion.
- B. Inevitable abortion.
- C. Incomplete abortion.
- D. Twin pregnancy.
- E. Ectopic pregnancy.
Correct Answer: C
Rationale: Incomplete abortion occurs when products of conception are partially expelled leading to vaginal bleeding passage of tissue and lower abdominal pain as seen in this case. Threatened abortion involves bleeding without tissue passage or cervical dilation. Inevitable abortion implies an open cervix but not necessarily tissue passage. Ectopic pregnancy typically presents with unilateral pain and no tissue passage. Twin pregnancy is unrelated to these symptoms.
You may also like to solve these questions
Which response by the nurse provides the best clarification about the disease process?
- A. If you're afraid of getting HIV, you'll be safer if you avoid having sex with past sex partners.
- B. An HIV-positive individual may not develop symptoms of AIDS for years.
- C. HIV can only be transmitted when symptoms of AIDS are present.
- D. The medication prescribed for AIDS also protects against HIV infection.
Correct Answer: B
Rationale: HIV can be asymptomatic for years, during which it is still transmissible, making this clarification critical for understanding the disease process and transmission risk.
The nurse is caring for a preterm infant who must be fed via bolus gavage feeding. The infant has a 5 French feeding tube already secured in the left naris. The nurse has aspirated the infant’s stomach contents, noting color, amount, and consistency, and has reinserted the residual amount because it was less than one-fourth the previous feeding. Prioritize the remaining steps that the nurse should take to complete this feeding.
- A. Elevate the syringe 6 to 8 inches over the infant’s head.
- B. Position the infant on the right side.
- C. Uncrimp the tubing and allow the feeding to flow by gravity at a slow rate.
- D. Crimp the feeding tube and pour the specified amount of formula or breast milk into the barrel.
- E. Cap the lavage feeding tube.
Correct Answer: D, A, F, C, E, B, G
Rationale: Sequence: Position infant on right side (D) to reduce aspiration risk connect syringe barrel (A) crimp tube and pour formula (F) elevate syringe (C) uncrimp for gravity flow (E) clear tubing with air (B) cap tube (G).
The nurse admits the term newborn,who is at risk to develop neonatal abstinence syndrome (NAS) to the newborn nursery. The nurse correctly places this infant in which location?
- A. The general nursery with 15 other infants
- B. A small,well-lit nursery with two other newborns
- C. Alone in a small,darkened nursery room
- D. Right next to the charge nurse’s desk
Correct Answer: C
Rationale: Newborns with NAS require a low-stimulus environment due to withdrawal behaviors. A small darkened room alone minimizes noise and light stimulation.
If the nurse documents all the following data, which finding should be reported immediately?
- A. Refusal to eat
- B. Complaint of nausea
- C. Absent bowel sounds
- D. Temperature of 101°F (38.3°C) orally
Correct Answer: C
Rationale: Absent bowel sounds may indicate peritonitis or bowel obstruction, serious complications of appendicitis requiring immediate reporting to prevent further deterioration.
Which instruction should the nurse include when teaching the parents about the administration of oral penicillin to their child?
- A. Give the medication with a full glass of orange juice.
- B. Give the medication after a large meal.
- C. Continue the medication even if the child develops a rash.
- D. Continue the medication for the full course of therapy.
Correct Answer: D
Rationale: Completing the full course of penicillin therapy eradicates the infection and prevents recurrence or resistance, especially for streptococcal infections.