After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?

"I won't use my birth control pills for at least a year or two."

"I will be sure to avoid getting pregnant for at least 1 year."

"My blood pressure will continue to be increased for about 6 more months."

"My intake of iron will have to be closely monitored for 6 months."

Answer and Explanation

The Correct Answer is B

A. "I won't use my birth control pills for at least a year or two." - This statement does not accurately reflect the teaching provided. After treatment for gestational trophoblastic disease, it is important for the woman to avoid pregnancy for a specified period of time to allow for monitoring and to reduce the risk of complications. However, the use of birth control pills is typically recommended to prevent pregnancy during this period.

B. "I will be sure to avoid getting pregnant for at least 1 year." - This statement demonstrates understanding of the teaching. After treatment for gestational trophoblastic disease, healthcare providers typically recommend avoiding pregnancy for at least one year. This allows for monitoring of hCG levels to ensure they return to normal and to reduce the risk of recurrence.

C. "My blood pressure will continue to be increased for about 6 more months." - This statement is not related to the teaching about gestational trophoblastic disease. Blood pressure may be affected during pregnancy, but it is not a specific concern related to treatment for gestational trophoblastic disease.

D. "My intake of iron will have to be closely monitored for 6 months." - This statement is not directly related to the teaching about gestational trophoblastic disease. While monitoring of iron levels may be important for overall health, it is not a specific recommendation related to treatment for this condition.

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Correct Answer is D

Explanation

A. "Change your behavior so as not to trigger the violence."

This statement is victim-blaming and places the responsibility for the violence on the victim. It suggests that the victim's actions or behavior are the cause of the violence they are experiencing, which is not true. This type of response can further disempower the victim and perpetuate a cycle of abuse by implying that they have control over the perpetrator's actions.

B. "Remember-children do best in two-parent families."

This statement is not only irrelevant but also potentially harmful. It implies that the victim should prioritize maintaining the family structure over their own safety and well-being. Additionally, it disregards the fact that exposure to domestic violence can have serious negative impacts on children's emotional and psychological development. Encouraging the victim to stay in an abusive relationship for the sake of the children is not empowering and fails to address the root issue of the violence.

C. "Give your partner more time to come around."

This statement minimizes the severity of the situation and suggests that the victim should be patient and wait for the perpetrator to change their behavior. It fails to recognize that domestic violence is a pattern of coercive control and manipulation, and waiting for the perpetrator to "come around" may put the victim at further risk of harm. Encouraging the victim to wait for change also implies that they do not have the right to safety and autonomy until the perpetrator decides to change, which is not empowering.

D. "You are a good person, and you deserve better than this."

This statement acknowledges the victim's inherent worth and validates their experience of abuse. It empowers the victim to recognize that they deserve to be treated with respect and dignity, and it encourages them to take action to protect themselves and seek help. By affirming the victim's worth and agency, this statement can help build their confidence and resilience, making it more likely that they will take steps to address the violence and seek support.

A. alcohol B. heroin C. marijuana D. cocaine

Correct Answer is D

Explanation

A. Alcohol:

Alcohol consumption during pregnancy can lead to a range of adverse effects on the fetus, collectively known as fetal alcohol spectrum disorders (FASDs). However, the symptoms described in the scenario—tachycardia, hypertension, and evidence suggesting vasoconstriction—are not typical of alcohol use. While alcohol can lead to hypertension in chronic heavy drinkers, it is not commonly associated with tachycardia and vasoconstriction in the same way that stimulant drugs like cocaine are.

B. Heroin:

Heroin is an opioid drug that depresses the central nervous system, leading to effects such as respiratory depression, sedation, and decreased heart rate. While heroin use during pregnancy can have serious consequences for both the mother and the fetus, including neonatal withdrawal syndrome (neonatal abstinence syndrome), it is not typically associated with tachycardia, hypertension, and vasoconstriction. Therefore, heroin is less likely to be the substance causing the symptoms described in the scenario.

C. Marijuana:

Marijuana use during pregnancy has been associated with various adverse outcomes, including low birth weight and neurodevelopmental issues in children. However, the symptoms described—tachycardia, hypertension, and evidence suggesting vasoconstriction—are not typical of marijuana use. Marijuana is more commonly associated with effects such as relaxation, increased heart rate (tachycardia), and vasodilation (not vasoconstriction). Therefore, marijuana is less likely to be the substance causing the symptoms described in the scenario.

D. Cocaine:

Cocaine is a potent stimulant drug that acts on the central nervous system and cardiovascular system, leading to effects such as tachycardia, hypertension, and vasoconstriction. These symptoms are consistent with acute cocaine intoxication. Cocaine use during pregnancy can have serious adverse effects on both the mother and the fetus, including increased risk of miscarriage, preterm labor, placental abruption, and fetal growth restriction. Therefore, given the symptoms described in the scenario, cocaine is the substance that the nurse would question the woman about.

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After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a victim of violence. Which statement would be most appropriate to empower the victim to take action?

Correct Answer is D

Explanation

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

Correct Answer is D

Explanation

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