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A nurse is assisting with the care of a client who was recently diagnosed with endometriosis.History & Physical Nurse Notes Provider Prescriptions
Nafarelin 200 mcg 1 spray intranasally every morning and 1 spray in the opposite nostril every evening
A nurse is assisting with the care of a client who was recently diagnosed with endometriosis and began taking medication to treat the condition. Which of the following manifestations reported by the client should the nurse identity as a therapeutic effect of the medication?
(Select all that apply)

Dermatological manifestations

Breast changes

Pain level during sexual intercourse

Nasal mucosa changes

CNS manifestations

Missed previous month's menstrual cycle

Answer and Explanation

Correct Answer : C,F

Rationale:

A. Dermatological manifestations are not typically associated with the therapeutic effects of medications used to treat endometriosis.

B. Breast changes are not typically associated with the therapeutic effects of medications used to treat endometriosis.

C. Pain level during sexual intercourse is a symptom of endometriosis, and a decrease in pain during intercourse would indicate a therapeutic effect of the medication. Nafarelin is a gonadotropin-releasing hormone (GnRH) agonist commonly used to treat endometriosis by reducing estrogen levels and subsequently alleviating symptoms such as pelvic pain and dyspareunia (pain during sexual intercourse).

D. Nasal mucosa changes may occur as a side effect of intranasal medications like nafarelin, but they are not indicative of the therapeutic effect of the medication in treating endometriosis.

E. CNS manifestations are not typically associated with the therapeutic effects of medications used to treat endometriosis.

F. Missed previous month's menstrual cycle could indicate amenorrhea, which can be a therapeutic effect of medications like nafarelin in treating endometriosis by suppressing ovulation and menstruation, thereby reducing symptoms associated with endometrial tissue growth.

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Correct Answer is C

Explanation

Rationale:

A. Quickening refers to the first perception of fetal movements by the mother and typically occurs around 16 to 20 weeks of gestation, which is during the second trimester, not the last weeks of pregnancy.

B. Quickening usually occurs later than the second and third months of pregnancy. During the second and third months, the fetus is still very small, and fetal movements are not typically felt by the mother.

C. Quickening occurs between the fourth and fifth months of pregnancy, typically around 16 to 20 weeks of gestation. This is when the fetus has grown large enough for the mother to feel movements.

D. Quickening does not start soon after implantation, which occurs in the early weeks of pregnancy before the fourth or fifth month.

A. Severe nausea and vomiting B. Copious vaginal bleeding C. Pelvic pain D. Uterine enlargement greater than expected for gestational age

Correct Answer is C

Explanation

Rationale:

A. Severe nausea and vomiting are common symptoms of early pregnancy but are not specific to ectopic pregnancy.

B. Copious vaginal bleeding may occur in some cases of ectopic pregnancy, but it is not a consistent finding and may not always be present.

C. Pelvic pain is a hallmark symptom of ectopic pregnancy and is often described as sharp, stabbing pain on one side of the pelvis. This pain may be severe and persistent and is typically associated with the location of the ectopic pregnancy.

D. Uterine enlargement greater than expected for gestational age is not expected in ectopic pregnancy because the fertilized egg implants outside the uterus, usually in the fallopian tube, and does not cause uterine enlargement.

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about quickening with a client who is at 6 weeks of gestation.Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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