A 14-year-old patient visits the antepartal clinic because she has missed three menstrual periods.The patient is to have a pelvic examination.
In addition to explaining the procedure, which measure would best help reduce the patient’s anxiety?

Remind the patient that the examination will be less painful if she relaxes.

Remind the patient that this is a routine procedure for women who attend the clinic.

Remind the patient that the nurse will stay with her during the examination.

Remind the patient that the examination takes only a short time.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Remind the patient that the nurse will stay with her during the examination.

This measure would help reduce the patient’s anxiety by providing emotional support and reassurance.

The patient may feel scared, embarrassed, or vulnerable during the pelvic examination, especially since she is young and pregnant.

Having a trusted person with her can help her cope with these feelings.

Choice A is wrong because it may imply that the examination will be painful and increase the patient’s anxiety.

Choice B is wrong because it may make the patient feel like she is not being treated as an individual and that her concerns are not valid.

Choice D is wrong because it may make the patient feel rushed or pressured and not allow her to ask questions or express her feelings.

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Correct Answer is A

Explanation

The correct answer is choice A. A patient who weighed less than 5 lb (2,268 gm) at birth is at risk for having an infant with intrauterine growth retardation (IUGR).This is because low birth weight is a possible indicator of genetic factors or placental insufficiency that can affect fetal growth.

Choice B is wrong because an ectopic pregnancy one year ago does not increase the risk of IUGR.An ectopic pregnancy is when the fertilized egg implants outside the uterus, usually in the fallopian tube.It does not affect the placental function or fetal development in a subsequent pregnancy.

Choice C is wrong because a mitral valve prolapse does not increase the risk of IUGR.

A mitral valve prolapse is when the valve between the left atrium and left ventricle of the heart does not close properly.It usually does not cause any symptoms or complications during pregnancy, unless it is associated with severe regurgitation or arrhythmias.

Choice D is wrong because the father’s age of 42 years old does not increase the risk of IUGR.The father’s age may affect the risk of chromosomal abnormalities or congenital anomalies in the fetus, but not the fetal growth.

Some of the other risk factors for IUGR include maternal smoking, alcohol, or drug use, medical conditions like anemia or lupus, infections such as rubella or syphilis, carrying twins or multiples, high blood pressure, gestational diabetes, and placenta problems.

A. Count the time from the end of one contraction to the beginning of the next contraction. B. Count the time from the middle of one contraction to the end of the same contraction. C. Count the time from the beginning of one contraction to the end of the same contraction. D. Count the time from the beginning of one contraction to the beginning of the next contraction.

Correct Answer is C

Explanation

The correct answer is choice C. Count the time from the beginning of one contraction to the end of the same contraction.

This is because the duration of a contraction is the length of time that the uterine muscle is tightening and relaxing.

The duration is measured from the start of one contraction until the end of that same contraction.

Choice A is wrong because it measures the frequency of contractions, not the duration.

The frequency is the time between the start of one contraction and the start of the next one.

Choice B is wrong because it measures only half of the duration of a contraction.

The middle of a contraction is when the uterine muscle reaches its peak intensity and then starts to relax.

Choice D is wrong because it measures both the duration and the interval of contractions.

The interval is the time between the end of one contraction and the start of the next one.

Normal ranges for contractions during labor are:

• Duration: 30 to 90 seconds

• Frequency: 2 to 5 minutes apart

• Interval: 30 to 120 seconds

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A 14-year-old patient visits the antepartal clinic because she has missed three menstrual periods.The patient is to have a pelvic examination. In addition to explaining the procedure, which measure would best help reduce the patient’s anxiety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is 17 weeks pregnant shares several pieces of information with the nurse. Which statement made by the patient would indicate the patient is at risk for having an infant with intrauterine growth retardation (IUGR)?

Correct Answer is A

Explanation

A nurse is caring for a patient who is in labor and is placed on a monitor.How should the nurse determine the duration of contractions?

Correct Answer is C

Explanation

A 14-year-old client who is pregnant has a low result from a rubella serology test.Which notation should be made on this client’s care plan?

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A 14-year-old patient is 10 weeks pregnant. In order to plan nutritional counseling for this patient, the nurse should have which understanding about adolescents’ nutritional needs during pregnancy?

The nurse at the antepartal clinic reviews four patients’ charts. Which patient is at increased risk for an ectopic pregnancy?

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The nurse suspects drug abuse in a patient admitted with no prenatal care and a diagnosis of abruptio placentae.Which question would elicit the most information from the patient concerning the suspected drug use?

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A 14-year-old patient visits the antepartal clinic because she has missed three menstrual periods.The patient is to have a pelvic examination.
In addition to explaining the procedure, which measure would best help reduce the patient’s anxiety?