Nokea
An absence of what may facilitate the occurrence of bacterial vaginosis?
- A. Antibodies
- B. Lactobacillus acidophilus
- C. Gardnerella vaginalis
- D. Vaginal mucosa
Correct Answer: B
Rationale: Correct Answer: B - Lactobacillus acidophilus
Rationale: Lactobacillus acidophilus is a beneficial bacteria that helps maintain the acidic pH of the vagina, inhibiting the growth of harmful bacteria like Gardnerella vaginalis. An absence of Lactobacillus acidophilus can disrupt the vaginal microbiota balance, allowing for the overgrowth of harmful bacteria and leading to bacterial vaginosis.
Summary of Incorrect Choices:
A: Antibodies - Antibodies play a role in the immune response but are not directly related to the occurrence of bacterial vaginosis.
C: Gardnerella vaginalis - Gardnerella vaginalis is a bacteria associated with bacterial vaginosis, not its absence.
D: Vaginal mucosa - The integrity of the vaginal mucosa is important for protection, but its absence would not directly facilitate bacterial vaginosis.
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The nurse is teaching a sex education class to teenage girls. The nurse informs them that which age group should receive a vaccination to prevent HPV infection?
- A. 13-29
- B. 12-26
- C. 9-26
- D. 7-20
Correct Answer: C
Rationale: The correct answer is C (9-26) because the HPV vaccine is recommended for both males and females between the ages of 9 and 26. Vaccination at a younger age provides the best protection before exposure to the virus. Choices A, B, and D include age ranges outside the recommended vaccination window, making them incorrect options.
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.
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.
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.
The nurse is meeting with a client who was newly diagnosed with polycystic ovary syndrome. She knows that the client has the potential for which diagnoses? Select all that apply.
- A. Knowledge deficit
- B. Disturbed body image
- C. Risk for type 2 diabetes
- D. Impaired mobility
Correct Answer: D
Rationale: The correct answer is D: Impaired mobility. This is because polycystic ovary syndrome (PCOS) can lead to obesity and insulin resistance, which in turn can increase the risk of impaired mobility due to joint pain, reduced muscle strength, and overall decreased physical activity. The other choices are incorrect because A (Knowledge deficit) can be addressed through education, B (Disturbed body image) is more related to self-esteem and body perception issues, and C (Risk for type 2 diabetes) is a potential consequence of PCOS but not directly related to impaired mobility.