A pregnant client calls the ED stating that she is experiencing severe lower abdominal pain on her left side. She has not been seen for prenatal care, and only knows she had a positive pregnancy test two weeks ago. She states she has had a previous pregnancy last year without complications. The nurse answering the call tells her to come into the ED. When doing her intake history, the nurse will ask about
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specifically along with the usual prenatal history.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B"}

Given the client's symptoms of severe lower abdominal pain on the left side, the nurse should be concerned about a potential ectopic pregnancy, where the fertilized egg implants outside the uterus, commonly in the fallopian tube. This is a medical emergency, as it can lead to life-threatening complications if the tube ruptures.

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Correct Answer is B

Explanation

A. Infection is not the primary concern with endometriosis unless there is a secondary complication.

B. Dysmenorrhea (painful menstruation) is one of the most common and debilitating symptoms of endometriosis. Addressing pain management and comfort is a priority in the care of these patients.

C. Urinary incontinence is not a typical symptom of endometriosis, so this is not a priority diagnosis.

D. Constipation can be a concern but is secondary to addressing pain related to endometriosis.

A. To identify abnormal fetal cells. B. To detect metabolic disorders. C. To determine fetal lung maturity. D. To identify the sex of the fetus.

Correct Answer is C

Explanation

A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.

B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.

C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.

D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a care plan for a patient with a medical diagnosis of endometriosis. Based upon her predicted symptoms, what is the priority nursing diagnosis?

Correct Answer is B

Explanation

A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

Correct Answer is C

Explanation

A client had an ultrasound as part of an infertility work up. Upon reading the report, the nurse notices the radiology report notes malformation and scaring of the right fallopian tube. The nurse knows this client is most at risk for ______.

A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?

LC's VE (6/80/-1) indicates which of the following (there are 3 correct choices)? Exhibits

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).

partner have been trying to conceive for the past 6 months. The client's medical history is significant for diabetes migraine headaches, fibromyalgia, and pelvic inflammatory disease (PID). Which reason is most likely causing the client's infertility?