Maternal Disorders

Maternal Disorders Related

Review Maternal Disorders related questions and content

A nurse is developing a plan of care for a 16-year-old female client experiencing her first outbreak of genital herpes. The client states that she contracted the disease by holding hands with someone who has syphilis. Which nursing diagnosis should the nurse identify as the priority?

  • A. Acute pain related to the development of genital lesions
  • B. Lack of knowledge about the disease and its transmission
  • C. Ineffective coping related to the increased stress associated with the infection
  • D. Noncompliance with treatment related to age of the client
Correct Answer: B

Rationale: The correct answer is B: Lack of knowledge about the disease and its transmission. This is the priority nursing diagnosis because the client's statement about contracting herpes by holding hands with someone who has syphilis indicates a lack of understanding about how genital herpes is transmitted. The nurse should prioritize educating the client about the disease, its transmission, and prevention to empower the client to make informed decisions about her health.

Choices A, C, and D are incorrect:
A: Acute pain may be a symptom of genital herpes, but addressing the lack of knowledge about the disease and its transmission is more essential for the client's well-being.
C: While coping with the stress of the infection is important, addressing the lack of knowledge should take precedence to prevent further transmission and help the client manage the condition effectively.
D: Noncompliance with treatment may be a concern, but addressing the client's lack of knowledge about the disease and its transmission is crucial in promoting understanding and adherence to treatment.

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Which should the nurse recommend to the client to relieve premenstrual syndrome (PMS) symptoms? Select all that apply.

  • A. NSAIDs to decrease pain
  • B. Exercise 5 to 6 times a week
  • C. Decrease caffeine
  • D. Decrease fiber
Correct Answer: D

Rationale: The correct answer is D, decrease fiber intake. High-fiber foods can worsen bloating and digestive issues associated with PMS. By reducing fiber intake, gas and bloating can be minimized, alleviating these symptoms. NSAIDs (A) can help with pain but do not address other PMS symptoms. Exercise (B) can be beneficial, but it may not directly target PMS symptoms. Decreasing caffeine (C) can help with mood swings, but it is not as effective for physical symptoms compared to reducing fiber intake.

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.

A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bed rest, the physician ordered the following four items. Which of the orders should the nurse perform first?

  • A. Assess deep tendon reflexes.'
  • B. Obtain complete blood count.'
  • C. Assess baseline weight.'
  • D. Obtain routine urinalysis.'
Correct Answer: A

Rationale: The correct answer is A: Assess deep tendon reflexes. This is the priority because preeclampsia can progress to eclampsia, a life-threatening condition characterized by seizures. Assessing deep tendon reflexes helps in identifying signs of impending eclampsia. Obtaining a complete blood count (option B) and routine urinalysis (option D) are important in monitoring for complications of preeclampsia but do not address the immediate risk of seizures. Assessing baseline weight (option C) is also important but does not take precedence over assessing deep tendon reflexes in this scenario.

Which factors contribute to a woman’s perception of her body? Select all that apply.

  • A. Role of motherhood
  • B. Sexuality
  • C. Relationships at work
  • D. Family and social relationships
Correct Answer: B

Rationale: The correct answer is B: Sexuality. This factor contributes to a woman's perception of her body as it influences how she views herself in terms of attractiveness, desirability, and self-image. Sexuality plays a significant role in shaping body image and self-esteem.

A: Role of motherhood - While motherhood can impact body image, it is not a universal factor for all women.
C: Relationships at work - While work relationships can influence self-esteem, they may not directly impact body perception.
D: Family and social relationships - While important, they may not directly relate to body perception as much as sexuality does.

In summary, sexuality plays a crucial role in shaping a woman's perception of her body compared to the other factors listed.

What is the clinical finding most likely to be exhibited in an infant diagnosed with erythroblastosis fetalis?

  • A. Edema
  • B. Immature red blood cells
  • C. Enlargement of the heart
  • D. Ascites
Correct Answer: B

Rationale: The correct answer is B: Immature red blood cells. Erythroblastosis fetalis is a condition where maternal antibodies attack fetal red blood cells, leading to hemolysis and the release of immature red blood cells (erythroblasts) into the circulation. This can result in anemia and jaundice in the infant. Edema (choice A) is not a typical clinical finding in erythroblastosis fetalis. Enlargement of the heart (choice C) is more commonly associated with conditions like congestive heart failure. Ascites (choice D) is the accumulation of fluid in the abdominal cavity and is not a characteristic finding in erythroblastosis fetalis.

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