A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:
primary dysmenorrhea.
endometriosis.
secondary dysmenorrhea.
PMS.
The Correct Answer is B
Choice A reason: This is incorrect because primary dysmenorrhea is menstrual pain that is not associated with any underlying condition. It usually begins with the onset of menstruation and lasts for a few days. It does not cause pain during intercourse or infertility.
Choice B reason: This is correct because endometriosis is a condition where the endometrial tissue that normally lines the uterus grows outside the uterus, such as on the ovaries, fallopian tubes, or pelvic organs. It causes chronic inflammation, scarring, and adhesions that can result in severe pain during menstruation and intercourse, as well as infertility.
Choice C reason: This is incorrect because secondary dysmenorrhea is menstrual pain that is caused by an underlying condition, such as fibroids, pelvic inflammatory disease, or adenomyosis. It usually develops later in life and lasts longer than primary dysmenorrhea. It may or may not cause pain during intercourse or infertility, depending on the condition.
Choice D reason: This is incorrect because PMS stands for premenstrual syndrome, which is a group of physical and emotional symptoms that occur before menstruation. It may include mood swings, irritability, bloating, headaches, or breast tenderness. It does not cause severe pain during menstruation or intercourse, or infertility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The NST has no known contraindications, as it is a non-invasive and safe test that does not stimulate uterine contractions or cause fetal distress. It is the most widely used method of antepartum fetal surveillance.
Choice B reason: The NST is not slightly more expensive than the CST, as it requires less time and equipment. The NST usually takes 20 to 40 minutes, while the CST may take up to 2 hours. The NST only needs a fetal monitor, while the CST also needs an intravenous line and oxytocin infusion.
Choice C reason: The NST does not have fewer false-positive results than the CST, as it has a higher rate of nonreactive results that may indicate fetal compromise when there is none. A nonreactive NST is one that does not show at least two accelerations of the fetal heart rate of 15 beats per minute or more lasting 15 seconds or more in a 20-minute period.
Choice D reason: The NST is not more sensitive in detecting fetal compromise than the CST, as it has a lower predictive value for fetal well-being. A reactive NST is one that shows at least two accelerations of the fetal heart rate of 15 beats per minute or more lasting 15 seconds or more in a 20-minute period. However, a reactive NST does not rule out the possibility of fetal hypoxia or acidosis.
Correct Answer is B
Explanation
Choice A reason: Pointing out that inappropriate sexual behavior caused the infection is not helpful, as it may make the woman feel guilty, ashamed, or defensive. The nurse should avoid blaming or judging the woman and focus on providing education and support.
Choice B reason:Positioning the patient in asemi-Fowler position(head of the bed elevated 30–45 degrees) helps promote drainage of pelvic exudate and reduces the risk of abscess formation or further spread of infection. This is a key nursing intervention for patients withacute pelvic inflammatory disease (PID).
Choice C reason: Telling her that antibiotics need to be taken until pelvic pain is relieved is incorrect, as it may lead to incomplete treatment and recurrence of the infection. The nurse should instruct the woman to take the full course of antibiotics as prescribed, regardless of the symptoms.
Choice D reason:While infertility is apotential complicationof PID, it is not a guaranteed outcome. The nurse should provideaccurate informationabout risks but avoid causing unnecessary alarm. The focus should be onprompt treatment and prevention of complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.