Which body part both protects the pelvic structures and accommodates the growing fetus during pregnancy?
- A. Perineum
- B. Bony pelvis
- C. Vaginal vestibule
- D. Fourchette
Correct Answer: B
Rationale: The bony pelvis provides protection and support for the growing fetus during pregnancy.
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A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previWhich of the following actions should the nurse plan to take?
- A. Initiate continuous monitoring of the FHR.
- B. Administer a dose of betamethasone.
- C. Check the cervix for dilation every 8 hr.
- D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A
Rationale: Continuous fetal heart rate monitoring is essential in placenta previa to assess for fetal distress.
Which contraceptive method best protects against STIs and the HIV?
- A. Periodic abstinence
- B. Barrier methods
- C. Hormonal methods
- D. Same protection with all methods
Correct Answer: B
Rationale: Barrier methods, such as condoms, protect against STIs and HIV the best of all contraceptive methods. Periodic abstinence and hormonal methods do not offer protection against STIs or HIV.
In which step of the nursing process does the nurse determine the appropriate interventions for the identified nursing diagnosis?
- A. Planning
- B. Evaluation
- C. Assessment
- D. Intervention
Correct Answer: A
Rationale: In the nursing process, planning is the step where the nurse determines the appropriate interventions for the identified nursing diagnosis. Firstly, after assessing the patient's needs (Assessment), the nurse analyzes the data to identify nursing diagnoses. Next, in the Planning step, the nurse sets goals, establishes priorities, and decides on specific interventions to address the nursing diagnoses. This step involves developing a comprehensive care plan tailored to the individual patient's needs. Evaluation comes after the interventions are implemented to assess the effectiveness of the care provided. The Intervention step involves carrying out the planned interventions. Thus, the correct answer is A: Planning.
Which condition is inappropriate to treat with exogenous progesterone?
- A. Thyroid dysfunction
- B. Recent miscarriage
- C. PCOD
- D. Oocyte retrieval
Correct Answer: A
Rationale: Thyroid dysfunction is treated with Synthroid for anovulation, not with progesterone.
The nurse at a family practice clinic is providing care to a 47-year-old obese patient. The patient
states that she realizes that she has put on extra weight but is reluctant to go to any exercise
classes. She states that she often has to cross her legs when she sneezes and cannot do any
exercises with her legs crossed. The health care provider has prescribed tolterodine (Detrol). What
is the rationale for this medication?
- A. Tolterodine is used to treat overactive bladders and to decrease urinary frequency,
urgency, and urge incontinence. - B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas.
- C. Tolterodine is used to facilitate weight loss by acting as an appetite suppressant.
- D. Tolterodine is used to improve blood flow to the pelvic muscles to decrease
urinary tract infections.
Correct Answer: B
Rationale: The correct answer is B. Tolterodine is used to improve the tone and tissue in the urethral and vaginal areas. This medication is prescribed to treat overactive bladders and to decrease urinary frequency, urgency, and urge incontinence. The patient's symptoms of having to cross her legs when sneezing and inability to do exercises with legs crossed indicate issues with urinary incontinence. Tolterodine works by relaxing the bladder muscles and improving bladder control, which addresses the patient's symptoms.
Incorrect choices:
A: Tolterodine is not an appetite suppressant and does not facilitate weight loss.
C: Tolterodine does not act as an appetite suppressant, so it does not facilitate weight loss.
D: Tolterodine does not improve blood flow to pelvic muscles or decrease urinary tract infections.