A nurse is caring for a client.
During the physical examination, the nurse observes small pinpoint open vesicles and pustules on the labia majora with clear drainage noted.
A thick, mucopurulent vaginal discharge is noted on the client’s perineal pad.
After reviewing the information in the client’s medical record, which of the following provider prescriptions should the nurse anticipate?

Prescription A

Prescription B

Prescription C

Prescription D

Answer and Explanation

The Correct Answer is B

Choice A rationale

The symptoms described do not typically align with conditions that would be treated with Prescription A. Prescription A might be used for a different set of symptoms or conditions.

Choice B rationale

The presence of small pinpoint open vesicles and pustules on the labia majora with clear drainage, along with a thick, mucopurulent vaginal discharge, could indicate a sexually transmitted infection or other type of infection. Prescription B might be an antibiotic or antiviral medication to treat the suspected infection.

Choice C rationale

The symptoms described do not typically align with conditions that would be treated with Prescription C. Prescription C might be used for a different set of symptoms or conditions.

Choice D rationale

The symptoms described do not typically align with conditions that would be treated with Prescription D. Prescription D might be used for a different set of symptoms or conditions.

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Correct Answer is ["A","B","E"]

Explanation

Choice A rationale

Chloasma. Also known as melasma or the “mask of pregnancy,” chloasma is a common skin change during pregnancy. It appears as dark, irregular patches on the face19.

Choice B rationale

Linea nigra. This is a dark line that runs from the belly button to the pubic hair. It is another common skin change during pregnancy19.

Choice C rationale

Eczema. While some women may experience a worsening of eczema symptoms during pregnancy, it’s not a skin change that’s specifically associated with pregnancy19.

Choice D rationale

Psoriasis. Like eczema, psoriasis is not a skin change that’s specifically associated with pregnancy. Some women may see their psoriasis improve during pregnancy, while others may see it get worse19.

Choice E rationale

Striae gravidarum. Also known as stretch marks, these are another common skin change during pregnancy. They appear as pink, red, or purple streaks on the skin19.

A. Hearing loss B. Type 1 diabetes mellitus C. Congenital heart defects D. Intrauterine growth restriction .

Correct Answer is D

Explanation

Choice A rationale

While smoking during pregnancy can have many negative effects on a baby’s health, it is not specifically linked to hearing loss.

Choice B rationale

Type 1 diabetes mellitus is not caused by maternal smoking. It is an autoimmune condition where the body’s immune system destroys the cells that release insulin.

Choice C rationale

Congenital heart defects can have many causes, including genetic factors and certain maternal health conditions. However, they are not specifically linked to maternal smoking.

Choice D rationale

Smoking during pregnancy can cause intrauterine growth restriction. This is because nicotine and other harmful chemicals in cigarettes can cross the placenta and interfere with the baby’s blood supply. This can limit the amount of oxygen and nutrients the baby receives, leading to slower growth. Placental abruptionPlacental abruption Explore

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.Which findings should the nurse anticipate? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is completing a health history for a client who is at 6 weeks of gestation.The client informs the nurse that she smokes one pack of cigarettes per day.The nurse should advise the client that smoking places the client’s newborn at risk for which of the following complications?

Correct Answer is D

Explanation

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage.Which of the following should be included in the teaching?

A nurse in an antepartum unit is triaging clients.Which of the following clients should the nurse see first?

A nurse is about to measure the fundal height of a patient who is 22 weeks pregnant. Where should the nurse anticipate feeling the fundus?

A nurse is evaluating a patient in her third trimester of pregnancy.Which findings should the nurse recognize as expected physiological changes during pregnancy?

A nurse is providing care to a client in her first trimester of pregnancy.The client inquires if she can maintain her exercise regimen during pregnancy.What would be the nurse’s most appropriate response?

A nurse is providing nutritional advice to a woman considering pregnancy.What information should the nurse include to minimize the risk of having a newborn with a neural tube defect?

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?