Nokea
The health-care provider is caring for an adolescent patient who is pregnant. The health-care provider knows that pregnancy during adolescence is linked with what influencing factor or factors? Select all that apply.
- A. low socioeconomic status
- B. psychologic problems
- C. social problems
- D. unemployment
Correct Answer: A,B,C
Rationale: A: Low socioeconomic status is a contributing factor to adolescent pregnancy due to limited access to education, healthcare, and contraception. B: Psychologic problems such as low self-esteem or mental health issues can increase the likelihood of adolescent pregnancy. C: Social problems like lack of support from family or peers, or exposure to risky behaviors, can also influence adolescent pregnancy. D: Unemployment, while a potential issue, is not directly linked to adolescent pregnancy as the other factors are more significant in this context.
You may also like to solve these questions
Which intrapartal assessment should be avoided when caring for a patient with HELLP syndrome?
- A. Abdominal palpation
- B. Venous sample of blood
- C. Checking deep tendon reflexes
- D. Auscultation of the heart and lungs
Correct Answer: A
Rationale: Correct Answer: A - Abdominal palpation
Rationale: Abdominal palpation can lead to increased risk of placental abruption in patients with HELLP syndrome. This can cause severe hemorrhage and compromise fetal and maternal well-being. Therefore, it should be avoided.
Summary of other choices:
- B: Venous sample of blood: Necessary for assessing blood parameters in patients with HELLP syndrome.
- C: Checking deep tendon reflexes: Important for evaluating neurological status in patients with HELLP syndrome.
- D: Auscultation of the heart and lungs: Essential for monitoring cardiovascular and respiratory function in patients with HELLP syndrome.
What virus is highly contagious, spread through airborne particles, and can cause intrauterine fetal demise, skin scarring, eye, limb or neurologic abnormalities, anemia, thrombocytopenia, and low birth weight in the fetus?
- A. toxoplasmosis
- B. syphilis
- C. rubella
- D. Varicella (chickenpox)
Correct Answer: D
Rationale: The correct answer is D: Varicella (chickenpox). Varicella virus is highly contagious and spreads through airborne particles. It can cause intrauterine fetal demise, skin scarring, eye, limb, or neurologic abnormalities, anemia, thrombocytopenia, and low birth weight in the fetus. Varicella infection during pregnancy can lead to severe complications for both the mother and the fetus. Toxoplasmosis (A), syphilis (B), and rubella (C) can also cause complications during pregnancy, but they do not match all the characteristics mentioned in the question.
Which finding in the exam of a patient with a diagnosis of threatened abortion would change the diagnosis to inevitable abortion?
- A. Presence of backache
- B. Rise in hCG level
- C. Clear fluid from vagina
- D. Pelvic pressure
Correct Answer: C
Rationale: The correct answer is C: Clear fluid from vagina. In threatened abortion, the pregnancy is at risk but the fetus is still viable. In inevitable abortion, there is no chance of continuation. Clear fluid from the vagina indicates rupture of membranes, leading to inevitable abortion due to the loss of amniotic fluid. Backache, rise in hCG levels, and pelvic pressure are common symptoms in threatened abortion but do not definitively indicate progression to inevitable abortion.
Which cardiac disease has the lowest risk for maternal mortality?
- A. Endocarditis
- B. Aortic stenosis
- C. Patent ductus arteriosus
- D. Pulmonary hypertension
Correct Answer: C
Rationale: The correct answer is C: Patent ductus arteriosus. This condition typically does not pose a significant risk for maternal mortality because it is a relatively benign cardiac defect that does not significantly impact maternal health during pregnancy. Other choices, such as endocarditis, aortic stenosis, and pulmonary hypertension, have higher risks for maternal mortality due to complications like heart failure, arrhythmias, and increased risk of thromboembolic events. Therefore, patent ductus arteriosus is the lowest risk for maternal mortality among the given options.
A patient taking magnesium sulfate has a respiratory rate of 10 breaths per minute. In addition to discontinuing the medication, which action should the nurse take?
- A. Increase the patient's IV fluids.
- B. Administer calcium gluconate.
- C. Vigorously stimulate the patient.
- D. Instruct the patient to take deep breaths.
Correct Answer: B
Rationale: The correct answer is B: Administer calcium gluconate. This is because magnesium sulfate can lead to respiratory depression by inhibiting neuromuscular transmission. Calcium gluconate is the antidote as it competes with magnesium for binding sites, reversing its effects. Increasing IV fluids (A) is not directly related to addressing respiratory depression. Vigorously stimulating the patient (C) can exacerbate respiratory depression. Instructing the patient to take deep breaths (D) may not be effective in addressing respiratory depression caused by magnesium sulfate.