A nurse is caring for a client who is at 32 weeks gestation and has a history of hypertension. Which of the following statements by the client should the nurse report to the provider?
"My ankles get swollen after standing at work."
"My gums bleed when I brush my teeth."
"I have constant pain in the middle of my upper abdomen."
"I feel dizzy when I lay flat on my back.
The Correct Answer is C
Choice A rationale:
Ankle swelling can be a common symptom of pregnancy and is not necessarily indicative of a complication.
Choice B rationale:
Gums can become more sensitive during pregnancy, leading to bleeding while brushing teeth. This finding is common and not necessarily indicative of a complication.
Choice C rationale:
Constant pain in the middle of the upper abdomen can be a sign of preeclampsia, a serious pregnancy complication that requires prompt medical attention.
Choice D rationale:
Feeling dizzy when lying flat on the back (supine hypotension) can be a common discomfort during pregnancy due to pressure on the vena cava. However, it does not necessarily indicate a complication in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Chlamydia is a bacterial infection, so it is treated with antibiotics, not antiviral medications.
Choice B rationale:
Clients should abstain from sexual intercourse until the treatment course is completed to prevent transmission.
Choice C rationale:
Chlamydia infections are often asymptomatic in both males and females, which can lead to undiagnosed and untreated infections. Routine screening is important to detect and treat infections early.
Choice D rationale:
The recommended frequency for chlamydia screening in female clients at risk is annually, not every 2 years.
Correct Answer is B
Explanation
Choice A rationale:
High-impact exercises might not be suitable for all clients and could potentially exacerbate symptoms such as joint pain or discomfort.
Choice B rationale:
Menopause is confirmed after 12 consecutive months without a menstrual period. Until this point, there is still a risk of pregnancy, and contraceptive measures should be used.
Choice C rationale:
Pelvic muscle exercises (Kegel exercises) are important for strengthening pelvic floor muscles but are not specifically related to menopause.
Choice D rationale:
Using a water-based lubricant for painful vaginal intercourse is a helpful suggestion, but it is not the primary focus of menopause education.
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