A patient has tested positive for a sexually transmitted infection (STI). Which actions are essential in the management of this condition?

Administer azithromycin 1 g PO one time.

Administer ibuprofen 600 mg PO twice a day PRN pain.

Notify all sexual partners within the prior 30 days of the need for STI screening.

Administer ceftriaxone 250 mg IM now.

Notify the appropriate public health agency of the positive diagnostic test results.

Administer acyclovir 400 mg PO three times per day.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

The correct answer is:

A. Administer azithromycin 1 g PO one time. Anticipated.

B. Administer ibuprofen 600 mg PO twice a day PRN pain. Nonessential.

C. Notify all sexual partners within the prior 30 days of the need for STI screening. Anticipated.

D. Administer ceftriaxone 250 mg IM now. Anticipated.

E. Notify the appropriate public health agency of the positive diagnostic test results. Anticipated.

F. Administer acyclovir 400 mg PO three times per day. Nonessential. .

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Correct Answer is C

Explanation

Choice A rationale

Lanugo is a fine hair that covers the fetus but does not primarily protect the skin from amniotic fluid exposure. It mainly helps in thermoregulation and the adherence of the vernix caseosa.

Choice B rationale

While skin care after birth is important, applying cream post-delivery does not explain why the skin is protected during gestation.

Choice C rationale

Vernix caseosa is a protective, cheese-like coating that covers the fetus's skin. It provides a barrier against the amniotic fluid, preventing maceration of the skin during the pregnancy.

Choice D rationale

Although subcutaneous fat develops in the fetus, it is not responsible for protecting the skin from amniotic fluid. The primary protective mechanism is the vernix caseosa.

A. Heartburn and quickening. B. Nausea and vomiting. C. Stuffy nose and bleeding gums. D. Constipation and hemorrhoids.

Correct Answer is D

Explanation

Choice A rationale

Heartburn is common due to the relaxation of the lower esophageal sphincter caused by progesterone, but quickening (the first movement of the fetus felt by the mother) typically occurs earlier in pregnancy, around 18-20 weeks.

Choice B rationale

Nausea and vomiting are more common in the first trimester due to hormonal changes, particularly increased levels of hCG. These symptoms often decrease as pregnancy progresses.

Choice C rationale

A stuffy nose and bleeding gums can occur due to increased blood volume and hormonal changes affecting mucous membranes, but these are more noticeable in the earlier stages of pregnancy.

Choice D rationale

Constipation and hemorrhoids are common in the third trimester. The growing uterus can put pressure on the rectum and intestines, slowing down bowel movements and increasing the risk of hemorrhoids.

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A patient has tested positive for a sexually transmitted infection (STI). Which actions are essential in the management of this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A father asks the nurse how the baby can exist in fluid for so long without resulting in some harmful effects on the skin.The nurse's best reply would be:

Correct Answer is C

Explanation

During the third trimester of pregnancy, the nurse knows that the client may be experiencing which of the following common symptoms?

Correct Answer is D

Explanation

You, the RN, assess a client who is in the 32nd week of pregnancy.She fell and punctured her leg with a nail.She states she has not had a tetanus immunization since infancy.Which action will you include in her plan of care?

A nurse is speaking with a client who is 6 weeks' gestation.The client tells the nurse that she smokes one pack per day, but is trying to quit.The nurse should explain that newborns born to women who smoke are at risk for:

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The nurse instructs a pregnant client that the purpose of an amniocentesis at 36 weeks gestation is for:

A pregnant client asks about the functions of the placenta.Which of the following items should the nurse NOT include in the teaching plan?

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?