During her gynecologic checkup, a 30-year-old client states that recently she has been experiencing abdominal cramping and pain 3-4 days before and during her menstrual periods. The patient also complains of nausea, vomiting, headache, and irritability. The nurse would document these complaints as:

Select one:

Dysmenorrhea.

Dyspareunia.

Amenorrhea.

Premenstrual syndrome (PMS).

Answer and Explanation

The Correct Answer is D

a.   Dysmenorrhea refers to painful menstruation, which may be accompanied by abdominal cramping and pain.
b.   Dyspareunia refers to painful sexual intercourse, which is not described in the scenario.
c.   Amenorrhea refers to the absence of menstrual periods, which is not described in the scenario.
d.   The symptoms described in the scenario are consistent with premenstrual syndrome, which includes physical and emotional symptoms such as abdominal cramping and pain, nausea, vomiting, headache, and irritability that occur before and during menstruation.

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Correct Answer is C

Explanation

a. Darkening of the areola and breast tenderness are common symptoms of early pregnancy but are not associated with Chadwick's sign.

b. Softening of the lower segment of the uterus is associated with Hegar's sign, not Chadwick's sign.
c. Chadwick's sign is the violet or purplish discoloration of the vulva, vagina, and cervix due to increased blood flow during pregnancy.
d. Presence of early fetal movements is not associated with Chadwick's sign.

A. Endometriosis B. Primary dysmenorrhea. C. PMS D. Secondary dysmenorrhea

Correct Answer is A

Explanation

a. Endometriosis is a condition in which the tissue that normally lines the inside of the uterus grows outside the uterus, causing severe pain and other symptoms.
b. Primary dysmenorrhea is the term used to describe painful menstrual cramps that are not caused by another condition.
c. Premenstrual syndrome (PMS) is a collection of physical and emotional symptoms that occur in the days or weeks before a woman's period.
d. Secondary dysmenorrhea is the term used to describe painful menstrual cramps that are caused by another condition, such as endometriosis.

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Naxlex Comprehensive Predictor Exams

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign? Select one:

Correct Answer is C

Explanation

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:

Correct Answer is A

Explanation

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus, at the midline. The nurse should suspect that the fetus is in which of the following presentation?

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Select one:

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be? Select one:

The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified? Select one:

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?