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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Syphilis is a bacterial STI caused by Treponema pallidum. It is characterized by three stages: primary, secondary, and tertiary. It can cause serious complications such as neurosyphilis, cardiovascular syphilis, and congenital syphilis. However, it is not the most common bacterial STI.

Choice B reason: Candidiasis is a fungal infection caused by Candida albicans. It is not a STI, but rather an opportunistic infection that can affect the vagina, mouth, skin, or other mucous membranes. It can cause symptoms such as itching, burning, discharge, and inflammation.

Choice C reason: Gonorrhea is a bacterial STI caused by Neisseria gonorrhoeae. It can infect the urethra, cervix, rectum, throat, or eyes. It can cause symptoms such as dysuria, discharge, pelvic pain, and bleeding. It can also lead to complications such as pelvic inflammatory disease, epididymitis, infertility, and disseminated gonococcal infection. However, it is not the most common bacterial STI.

Choice D reason: Chlamydia is a bacterial STI caused by Chlamydia trachomatis. It is the most common bacterial STI, affecting about 2.86 million people in the United States in 2018. It can infect the urethra, cervix, rectum, throat, or eyes. It can cause symptoms such as dysuria, discharge, pelvic pain, and bleeding. It can also lead to complications such as pelvic inflammatory disease, epididymitis, infertility, and ectopic pregnancy.

A. Eat five small meals daily. B. Lie down after each meal. C. Reduce the amount of fiber she consumes. D. Substitute other calcium sources for milk in her diet.

Correct Answer is A

Explanation

Choice A reason: Eating five small meals daily can help reduce heartburn in pregnancy by preventing overeating and reducing the pressure on the stomach from the growing uterus. It can also help maintain a steady blood glucose level and prevent nausea and vomiting.

Choice B reason: Lying down after each meal can worsen heartburn in pregnancy by allowing the stomach acid to reflux into the esophagus. It can also cause breathing difficulties and increase the risk of aspiration. The woman should avoid lying down for at least two hours after eating and elevate her head and chest when sleeping.

Choice C reason: Reducing the amount of fiber she consumes can cause constipation and hemorrhoids in pregnancy, which can increase the discomfort and pain. Fiber is important for maintaining a healthy digestive system and preventing gestational diabetes and preeclampsia. The woman should consume at least 25 grams of fiber per day from fruits, vegetables, whole grains, beans, and nuts.

Choice D reason: Substituting other calcium sources for milk in her diet can deprive the woman and the baby of essential nutrients, such as protein, vitamin D, and riboflavin. Milk is not a common cause of heartburn in pregnancy, unless the woman is lactose intolerant or allergic to dairy products. The woman should consume at least three servings of dairy products per day or take calcium supplements as prescribed.

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Care management of a woman diagnosed with acute pelvic inflammatory disease (PID) most likely would include:

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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