Maternal Disorders

Maternal Disorders Related

Review Maternal Disorders related questions and content

A nurse is teaching a community health class of women and explains that an STI is associated with an increased risk of infertility in women. Which STIs should the nurse identify?

  • A. HSV-2
  • B. Syphilis
  • C. Chlamydia
  • D. HPV
Correct Answer: C

Rationale: The correct answer is C: Chlamydia. Chlamydia is associated with an increased risk of infertility in women due to its ability to cause pelvic inflammatory disease (PID), which can lead to scarring and damage to the reproductive organs. This scarring can result in blocked fallopian tubes, making it difficult for an egg to be fertilized by sperm. HSV-2 (Choice A) is a viral infection that primarily causes genital herpes but is not directly linked to infertility. Syphilis (Choice B) can lead to serious complications but infertility is not a common outcome. HPV (Choice D) is a sexually transmitted infection that can cause genital warts and cervical cancer, but it does not typically lead to infertility in women.

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For HIV treatment, the pregnant woman should be expected to receive:

  • A. Antibiotics
  • B. Protease analogues
  • C. Zidovudine
  • D. Acyclovir
Correct Answer: C

Rationale: Rationale:
1. Zidovudine (AZT) is recommended for HIV-infected pregnant women to reduce the risk of vertical transmission to the baby.
2. It inhibits viral replication and decreases viral load in the mother, reducing transmission to the fetus.
3. Antibiotics are not effective for HIV treatment. Protease analogues are not typically used in pregnancy due to safety concerns. Acyclovir is used for herpes simplex virus, not HIV.

Phototherapy is instituted for an infant. What is the most appropriate nursing action for the infant having phototherapy?

  • A. Cover the infant's head with a hat.
  • B. Dress the infant lightly in a T-shirt.
  • C. Keep the infant's eyes covered.
  • D. Reposition the infant at least every 4 to 8 hours.
Correct Answer: C

Rationale: The correct answer is C: Keep the infant's eyes covered. This is important during phototherapy to protect the infant's eyes from potential damage due to exposure to light. Direct light can harm the infant's developing eyes, so covering them is crucial.

Choice A: Cover the infant's head with a hat - This is not necessary for phototherapy as the focus should be on protecting the eyes, not the head.
Choice B: Dress the infant lightly in a T-shirt - While dressing the infant lightly is recommended, it is not as critical as protecting the eyes.
Choice D: Reposition the infant at least every 4 to 8 hours - Repositioning is important for preventing pressure ulcers but is not directly related to the safety of the eyes during phototherapy.

The client calls the nurse and states she has not had a menstrual cycle in 3 months. What does the nurse know is the most common cause of secondary amenorrhea?

  • A. Weight loss
  • B. Pregnancy
  • C. Cancer
  • D. Menopause
Correct Answer: B

Rationale: The correct answer is B: Pregnancy. In the case of secondary amenorrhea, where a woman stops menstruating after previously having regular cycles, pregnancy is the most common cause. Pregnancy leads to a halt in the menstrual cycle due to hormonal changes to support the developing fetus. Other choices are incorrect: A) Weight loss can affect menstruation but is not the most common cause of secondary amenorrhea. C) Cancer can also disrupt the menstrual cycle, but it is not the primary cause in this scenario. D) Menopause typically occurs in women in their late 40s to early 50s, and would not be the most common cause of secondary amenorrhea in a younger woman.

The pregnant woman who becomes infected with chickenpox should be taught to report promptly:

  • A. Cough or dyspnea
  • B. Severe skin itching
  • C. Joint pain
  • D. Increased urination
Correct Answer: A

Rationale: The correct answer is A: Cough or dyspnea. Chickenpox can lead to pneumonia in pregnant women, causing cough or dyspnea. Prompt reporting is crucial for timely intervention. B: Severe itching is common in chickenpox but not a critical symptom. C: Joint pain is not a typical complication of chickenpox. D: Increased urination is not directly related to chickenpox complications during pregnancy. It's important for the pregnant woman to be aware of respiratory symptoms as they can indicate a serious complication that requires immediate medical attention.

A 58-year-old woman tells the nurse that she has started to experience pain during intercourse. The nurse should document that this woman is experiencing which of the following?

  • A. Dyspnea
  • B. Dyspareunia
  • C. Dyspepsia
  • D. Dysmenorrhea
Correct Answer: B

Rationale: The correct answer is B: Dyspareunia. Dyspareunia refers to pain during or after sexual intercourse. In this case, the woman is experiencing pain during intercourse, which aligns with the definition of dyspareunia. Dyspnea (A) is difficulty breathing, dyspepsia (C) is indigestion, and dysmenorrhea (D) is painful menstruation, none of which are related to pain during intercourse.

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