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 D

Explanation

a. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
b. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
c. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
d. If the woman has a 30-day cycle, she can expect to ovulate on day 16 of her cycle, which is January 18, 2023.

A. Aspirin. B. Morphine. C. с. Aleve D. IUDs.

Correct Answer is C

Explanation

a. Aspirin can relieve pain, but it is not typically used for primary dysmenorrhea due to its potential side effects.
b. Morphine can relieve pain, but it is not typically used for primary dysmenorrhea due to its potential for addiction and other side effects.
c. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Aleve (naproxen) are often used to relieve pain associated with primary dysmenorrhea.
d. IUDs are not used for pain relief in primary dysmenorrhea but may be used for contraception.

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Naxlex Comprehensive Predictor Exams

A female patient reports her menstrual cycle consistently occurs every 30 days. Her period started on January 2, 2023. What day of her cycle can the woman anticipate the ovulation day? Select one:

Correct Answer is D

Explanation

Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is: Select one:

Correct Answer is C

Explanation

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:

A woman who has five pregnancies with a fetus (or fetuses) not reaching the stage of fetal viability beyond 20 weeks is known as: Select one:

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has neural tube defects (NTD), which of the following information should the nurse include in the teaching? Select one:

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: Select one:

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one: