The doctor suspects
that the client has
an ectopic
pregnancy. Which
symptom is
consistent with a
diagnosis of ectopic
pregnancy?
a. Painless vaginal
bleeding
Answer D is correct. The signs of an ectopic
pregna
...
The doctor suspects
that the client has
an ectopic
pregnancy. Which
symptom is
consistent with a
diagnosis of ectopic
pregnancy?
a. Painless vaginal
bleeding
Answer D is correct. The signs of an ectopic
pregnancy are vague until the fallopian tube
ruptures. The client will complain of sudden,
stabbing pain in the lower quadrant that
radiates down the leg or up into the chest.
Painless vaginal bleeding is a sign of
placenta previa, abdominal cramping is a
sign of labor, and throbbing pain in the
upper quadrant is not a sign of an ectopic
pregnancy, making answers A, B, and C
incorrect.
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b. Abdominal
cramping
c. Throbbing pain in
the upper quadrant
d. Sudden, stabbing
pain in the lower
quadrant
A client telephones
the emergency
room stating that
she thinks that she is
in labor. The nurse
should tell the client
that labor has
probably begun
when:
a. Her contractions
are 2 minutes apart.
b. She has back pain
and a bloody
discharge.
c. She experiences
abdominal pain and
frequent urination.
d. Her contractions
are 5 minutes apart.
Answer D is correct.
The client should be advised to come to the
labor and delivery unit when the
contractions are every 5 minutes and
consistent. She should also be told to report
to the hospital if she experiences rupture of
membranes or extreme bleeding. She
should not wait until the contractions are
every 2 minutes or until she has bloody
discharge, so answers A and B are incorrect.
Answer C is a vague answer and can be
related to a urinary tract infection
Which of the
following
instructions should
be included in the
nurse's teaching
regarding oral
contraceptives?
a. Weight gain
should be reported
to the physician.
b. An alternate
method of birth
control is needed
when taking
antibiotics.
Answer B is correct.
When the client is taking oral contraceptives
and begins antibiotics, another method of
birth control should be used. Antibiotics
decrease the effectiveness of oral
contraceptives. Approximately 5-10 pounds
of weight gain is not unusual, so answer A is
incorrect. If the client misses a birth control
pill, she should be instructed to take the pill
as soon as she remembers the pill. Answer C
is incorrect. If she misses two, she should
take two; if she misses more than two, she
should take the missed pills but use another
method of birth control for the remainder of
the cycle. Answer D is incorrect because
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c. If the client
misses one or more
pills, two pills
should be taken per
day for 1 week.
d. Changes in the
menstrual flow
should be reported
to the physician.
changes in menstrual flow are expected in
clients using oral contraceptives. Often
these clients have lighter menses.
A nursing instructor
is conducting
lecture and is
reviewing the
functions of the
female reproductive
system. She asks
Mark to describe
the folliclestimulating
hormone (FSH) and
the luteinizing
hormone (LH). Mark
accurately responds
by stating that:
a. FSH and LH are
released from the
anterior pituitary
gland.
b. FSH and LH are
secreted by the
corpus luteum of
the ovary
c. FSH and LH are
secreted by the
adrenal glands
d. FSH and LH
stimulate the
formation of milk
during pregnancy.
a. FSH and LH are released from the anterior
pituitary gland.
FSH and LH, when stimulated by
gonadotropin-releasing hormone from the
hypothalamus, are released from the
anterior pituitary gland to stimulate follicular
growth and development, growth of the
graafian follicle, and production of
progesterone.
A woman who's 36
weeks pregnant
comes into the
b. vaginal bleeding
contractions may disrupt the microvascular
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labor & delivery unit
with mild contracts.
Which of the
following
complications
should the nurse
watch out for when
the client informs
her that she has
placenta prevue?
a. sudden rupture
of membranes
b. vaginal bleeding
c. emesis
d. fever
network in the placenta of a client with
placenta prevue and result in bleeding. If the
separation of the placenta occurs at the
margin of the placenta, the blood will
escape vaginally.
Sudden rupture of the membranes isn't
related to placenta prevue. Fever would
indicate an infectious process, and emesis
isn't related to placenta previa
A 21y.o. client has
been diagnosed
with hydatidiform
mole. Which of the
following factors is
considered a risk
factor for
developing
hydatidiform mole?
1. age in 20s or 30s
2. high in SES
3. Primigravida
4. prior molar
gestation
4.
previous molar gestation increases risk for
developing subsequent molar gestation by
4-5 times. Adolescents and women ages 40+
are at increased risk for molar pregs.
MULTIGRAVIDAS, esp women with prior
preg loss, and women with LOWER SES are
at increased risk for this problem.
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