A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
A client who has a history of gallbladder disease.
A client who has a positive pregnancy test.
A client who smokes one pack of cigarettes per day.
A client who is nulliparous.
The Correct Answer is B
Choice A rationale
Gallbladder disease does not directly contraindicate the use of an intrauterine device (IUD).
Choice B rationale
An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.
Choice C rationale
Smoking is a risk factor for cardiovascular issues but does not specifically contraindicate the use of an IUD.
Choice D rationale
Being nulliparous (having never given birth) is not a contraindication for IUD use; it may pose some challenges but is not a strict contraindication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Pain in the upper right abdomen is not typically associated with preterm labor. It might indicate other conditions such as preeclampsia or gallbladder issues, but it is not a common symptom of preterm labor. Clients should focus on signs directly related to uterine contractions and changes in cervical status.
Choice B rationale
Frequent contractions, more often than every 10 minutes, can be a sign of preterm labor. This indicates uterine activity that could potentially lead to premature dilation of the cervix. Identifying and monitoring contraction frequency helps in early detection and intervention to prevent preterm birth.
Choice C rationale
Walking stopping contractions generally suggests false labor or Braxton Hicks contractions, which are irregular and not indicative of preterm labor. True labor contractions typically continue regardless of activity and become more regular and intense over time.
Choice D rationale
Taking a daily iron supplement is beneficial for overall maternal health and preventing anemia but does not specifically prevent preterm labor. Preterm labor is more closely associated with factors like uterine activity, cervical changes, and infection rather than iron levels.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Explanation
Given the client's condition, the nurse should anticipate a provider's prescription for continuous fetal monitoring due to the client’s term gestation with regular contractions. This ensures close observation of both the fetal heart rate and the progress of labor, as the client is at full term with consistent contractions.
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