Nokea
Which condition, not uncommon in pregnancy, is likely to require careful medical assessment during the puerperium?
- A. Varicosities of the legs
- B. Carpal tunnel syndrome
- C. Periodic numbness and tingling of the fingers
- D. Headaches
Correct Answer: D
Rationale: Headaches in the postpartum period can have a number of causes, some of which deserve medical attention.
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The nurse is writing an expected outcome for the nursing diagnosis—acute pain related to
tissue trauma, secondary to vaginal birth, as evidenced by patient stating pain of 8 on a scale
of 10. Which expected outcome is correctly stated for this problem?
- A. Patient will state that pain is a 2 on a scale of 10.
- B. Patient will have a reduction in pain after administration of the prescribed
- C. Patient will state an absence of pain 1 hour after administration of the prescribed
- D. Patient will state that pain is a 2 on a scale of 10, 1 hour after the administration of
Correct Answer: D
Rationale: The correct answer is D because it aligns with the SMART criteria for expected outcomes. Specific: It clearly states the desired pain level of 2 on a scale of 10. Measurable: It provides a quantifiable measure to assess the outcome. Achievable: The goal is realistic and attainable within a specified time frame. Relevant: It directly addresses the nursing diagnosis of acute pain related to tissue trauma. Time-bound: It includes a timeframe of 1 hour after administration for evaluation.
Choices A, B, and C are incorrect because they do not meet all the SMART criteria. Choice A only focuses on the pain level without a specific timeframe. Choice B mentions pain reduction but lacks a specific target level or timeframe. Choice C mentions pain absence but lacks a specific timeframe for evaluation.
A nurse is caring for a patient who was just diagnosed with VVC. What treatment does the nurse expect to teach the patient about?
- A. metronidazole (anti-protozoal)
- B. penicillin G (antibiotic)
- C. clotrimazole (antifungal)
- D. ampicillin (antibiotic)
Correct Answer: C
Rationale: The correct answer is C: clotrimazole (antifungal). VVC stands for vulvovaginal candidiasis, which is a fungal infection. Clotrimazole is an antifungal medication commonly used to treat VVC. It works by disrupting the cell membrane of the fungus. Metronidazole (A) is an anti-protozoal used for treating infections like trichomoniasis, not VVC. Penicillin G (B) and ampicillin (D) are antibiotics used for bacterial infections, not fungal infections like VVC. Therefore, the nurse should expect to teach the patient about clotrimazole for VVC treatment.
A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
- A. Births to unmarried women are more likely to have less favorable outcomes.
- B. Birth rates for women 40 to 44 years of age are declining
- C. Cigarette smoking among pregnant women continues to increase.
- D. Rates of pregnancy and abortion among teenagers are lower in the United States than in any other industrialized country.
Correct Answer: A
Rationale: LBW infants and preterm births are more likely because of the large number of teenagers in the unmarried group.
The female athlete triad includes which common menstrual disorder?
- A. Amenorrhea
- B. Dysmenorrhea
- C. Menorrhagia
- D. Metrorrhagia
Correct Answer: A
Rationale: The female athlete triad is the combination of disordered eating amenorrhea and altered bone density.
The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
- A. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia - B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
- C. Diet and exercise will decrease serum lipid levels and lower the risk for
cardiovascular disease. - D. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
Correct Answer: E
Rationale: The correct answer is missing from the choices provided. However, I can provide a rationale for each choice:
A: Diet and exercise can help promote weight loss, which can decrease hyperandrogenemia by reducing insulin resistance and decreasing androgen levels.
B: While diet and exercise can decrease the risk of type 2 diabetes and gestational diabetes in women with PCOS, this is not directly related to reducing hirsutism and acne symptoms.
C: Diet and exercise can improve lipid levels and reduce cardiovascular risk in women with PCOS, but this is not the primary goal when addressing hirsutism and acne.
D: Diet and exercise can improve ovulation and menstrual regularity, which may help with fertility in women with PCOS, but this is not directly related to reducing hirsutism and acne.
In summary, the correct answer should focus on how diet and weight loss can specifically impact hirsutism and acne in women with PCOS.