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A woman at 37 weeks of gestation with a history of asthma, after a domestic violence episode is admitted into the emergency room unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, severe abdomen pain. The nurse suspects the onset of
Select one:

Rupture of the uterus.

Placenta previa.

Eclamptic seizure.

Placental abruption.

Answer and Explanation

The Correct Answer is D

a. This is not the correct diagnosis for this situation.

b. This is not the correct diagnosis for this situation.

c. This is not the correct diagnosis for this situation.

d. The sudden onset of increased contraction frequency, dark red vaginal bleeding, and severe abdominal pain are characteristic of placental abruption.

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Correct Answer is A

Explanation

a. At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b. The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c. The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d. The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

A. Vaginal sponge B. Abstinence. C. Coitus interruptus D. Hormonal contraceptives.

Correct Answer is A

Explanation

a. The vaginal sponge has been associated with an increased risk of toxic shock syndrome (TSS), so it should be avoided in women with a history of TSS.
b. Abstinence is a highly effective contraceptive method but may not be practical for all couples.
c. This method is not as effective as other contraceptive methods and may not be practical for all couples.
d. Hormonal contraceptives are generally safe for women with a history of TSS and are an effective method of contraception.

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Naxlex Comprehensive Predictor Exams

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

Correct Answer is A

Explanation

A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid?

Correct Answer is A

Explanation

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse does not include in the test?

The phase in which the ovarian function and hormone production decline and the patient had a lack of menstrual period for 13 months is known as:

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

A woman reports that her last normal menstrual period began on March 13, 2022. What is this woman's expected delivery date using Nagele's rule? Select one:

A woman who has five pregnancies with a fetus (or fetuses) not reaching the stage of fetal viability beyond 20 weeks is known as: Select one:

A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?