A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

Breast milk

Birth canal

Amniotic fluid

Placenta

Answer and Explanation

The Correct Answer is D

Choice A: Breast milk is not the correct answer because it is not a route of transmission for syphilis. Syphilis is caused by a bacterium called Treponema pallidum, which cannot survive in breast milk. However, breastfeeding mothers with syphilis should be treated with antibiotics to prevent other complications.

Choice B: The birth canal is not the correct answer because it is not a route of transmission for syphilis. Syphilis can be transmitted through sexual contact, but not through vaginal delivery. However, pregnant women with syphilis should be screened and treated before delivery to prevent congenital syphilis in their newborns.

Choice C: Amniotic fluid is not the correct answer because it is not a route of transmission for syphilis. Syphilis cannot cross the amniotic membrane, which protects the fetus from infections in the uterus. However, pregnant women with syphilis should be monitored for signs of fetal distress or premature rupture of membranes.

Choice D: Placenta is the correct answer because it is a route of transmission for syphilis. Syphilis can cross the placenta, which connects the mother and the fetus through blood vessels. This can result in congenital syphilis, which can cause serious problems such as stillbirth, miscarriage, low birth weight, deformities, or neurological damage in newborns.

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Correct Answer is A

Explanation

Choice A: Refusing to look at the dressing or surgical incision is the correct answer because it is a behavior that may indicate difficulty adjusting to the loss of her breast. Refusing to look at the dressing or surgical incision may reflect denial, avoidance, or fear of facing the reality of the surgery and its consequences. It may also indicate low self-esteem, body image disturbance, or depression. The nurse should assess the client's emotional state and provide support and education.

Choice B: Asking questions about the information on her postoperative care pamphlet is not the correct answer because it is a behavior that may indicate a positive adjustment to the loss of her breast. Asking questions about the information on her postoperative care pamphlet may reflect acceptance, curiosity, or motivation to learn about her condition and treatment. It may also indicate high self-efficacy, coping skills, or optimism. The nurse should encourage the client's involvement and provide clear and accurate information.

Choice C: Performing arm exercises once or twice a day is not the correct answer because it is a behavior that may indicate a positive adjustment to the loss of her breast. Performing arm exercises once or twice a day may reflect compliance, responsibility, or self-care. It may also indicate physical recovery, functional ability, or quality of life. The nurse should reinforce the client's efforts and provide feedback and guidance.

Choice D: Asking for pain medication every 3 hours is not the correct answer because it is a behavior that may indicate a normal response to the loss of her breast. Asking for pain medication every 3 hours may reflect pain management, comfort, or relief. It may also indicate trust, communication, or satisfaction with care. The nurse should assess the client's pain level and provide adequate and timely pain relief.

A. Antiestrogens B. Progestins C. Gonadotropin-releasing hormone analogues D. NSAIDs

Correct Answer is B

Explanation

Choice A reason: Antiestrogens are not a first-line treatment for endometriosis, as they can cause severe side effects such as bone loss, hot flashes, and vaginal dryness.

Choice B reason: Progestins are a first-line treatment for endometriosis, as they can suppress the growth of endometrial tissue and reduce pain and bleeding.

Choice C reason: Gonadotropin-releasing hormone analogues are a second-line treatment for endometriosis, as they can induce temporary menopause and cause bone loss, hot flashes, and mood changes.

Choice D reason: NSAIDs are not a treatment for endometriosis, as they can only provide symptomatic relief for pain and inflammation.

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A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is one day postoperative following a left radical mastectomy. Which of the following behaviors should alert the nurse to the possibility that the client is having difficulty adjusting to the loss of her breast?

Correct Answer is A

Explanation

A client who has come to the clinic is diagnosed with endometriosis. What would the nurse expect the primary care provider to prescribe as a first-line treatment?

Correct Answer is B

Explanation

A nurse is assessing a male client recently diagnosed with genital herpes. Which finding would most likely correlate with this diagnosis?

A postmenopausal woman with uterine prolapse is being fitted with a pessary. The nurse would be most alert for which side effect?

A nurse reading a journal article about the care of a woman with pelvic organ prolapse would expect to find information on which disorder. Select all that apply.

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The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.

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