Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include:
oral antiviral therapy.
antibiotics only until symptoms subside.
frequent pelvic examination to monitor the progress of healing.
bed rest in a semi-Fowler position.
The Correct Answer is D
Choice A reason: This is incorrect because oral antiviral therapy is not effective for PID, which is caused by bacterial infection. Antiviral therapy is used for viral infections, such as herpes or HIV.
Choice B reason: This is incorrect because antibiotics only until symptoms subside is not sufficient for PID, which can cause serious complications, such as infertility, ectopic pregnancy, or chronic pelvic pain. Antibiotics should be continued for the full course of treatment, usually 14 days, to ensure complete eradication of the infection.
Choice C reason: This is incorrect because frequent pelvic examination to monitor the progress of healing is not recommended for PID, which can cause inflammation and irritation of the pelvic organs. Pelvic examination should be avoided or minimized to prevent further trauma or spread of the infection.
Choice D reason: This is correct because bed rest in a semi-Fowler position is beneficial for PID, which can cause fluid accumulation and pressure in the pelvic cavity. Bed rest helps to reduce inflammation and pain, while semi-Fowler position helps to drain the fluid and prevent abscess formation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hypoinsulinemia is not a major neonatal complication of the infant of a diabetic mother. It is a condition of low insulin levels in the blood, which can cause hyperglycemia.
Choice B reason: Hypercalcemia is not a major neonatal complication of the infant of a diabetic mother. It is a condition of high calcium levels in the blood, which can cause muscle weakness, confusion, and kidney stones.
Choice C reason: Hypobilirubinemia is not a major neonatal complication of the infant of a diabetic mother. It is a condition of low bilirubin levels in the blood, which can cause pale skin and eyes.
Choice D reason: Hypoglycemia is a major neonatal complication of the infant of a diabetic mother. It is a condition of low blood sugar levels, which can cause seizures, lethargy, and brain damage.
Choice E reason: None of the above is not a correct answer. There is one major neonatal complication of the infant of a diabetic mother, which is hypoglycemia.
Correct Answer is D
Explanation
Choice A reason: This is not a good intervention, as it may worsen the symptoms of faintness, dizziness, and agitation. Standing up can cause a sudden drop in blood pressure (orthostatic hypotension), which can reduce the blood flow to the brain and the fetus. This can cause lightheadedness, blurred vision, and loss of consciousness in the woman, as well as fetal distress or hypoxia.
Choice B reason: This is not a good intervention, as it may also worsen the symptoms of faintness, dizziness, and agitation. Lying supine can cause compression of the inferior vena cava (a large vein that returns blood to the heart) by the gravid uterus, which can reduce the cardiac output (the amount of blood pumped by the heart) and the blood pressure. This can cause nausea, sweating, and visual disturbances in the woman, as well as fetal distress or hypoxia.
Choice C reason: This is not a good intervention, as it may not improve the symptoms of faintness, dizziness, and agitation. Sitting down and holding the arm in a dependent position can lower the blood pressure in the arm, but not in the rest of the body. This can cause inaccurate readings of the blood pressure and delay the detection of hypotension or hypertension. This can also cause discomfort and pain in the arm due to impaired circulation.
Choice D reason: This is the best intervention, as it can relieve the symptoms of faintness, dizziness, and agitation by improving the blood flow to the brain and the fetus. Turning to the left side can reduce the pressure of the uterus on the inferior vena cava and increase the cardiac output and the blood pressure. This can also optimize the placental perfusion (the blood flow to the placenta) and the fetal oxygenation.
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