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 B

Explanation

a. Maternal hypotension is not a common side effect of terbutaline, which is a beta-adrenergic agonist that can cause tachycardia and hypertension.
b. Pulmonary edema is a serious complication of terbutaline therapy, which can cause fluid overload, dyspnea, chest pain, and crackles in the lungs. The nurse should monitor the woman's vital signs, oxygen saturation, urine output, and lung sounds, and report any signs of pulmonary edema to the physician immediately.
c. Fetal bradycardia is not related to terbutaline, which can cause fetal tachycardia.
d. Fetal hypokalemia is also not associated with terbutaline, which can cause maternal hypokalemia due to increased potassium uptake by the cells.

A. Second and third trimesters insulin needs increase because the placenta is fully developed. B. Women with insulin-dependent diabetes are prone to hyperglycemia at all times during the first trimester because they are consuming more simple sugar. C. Maternal insulin requirements are never modified during pregnancies. D. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own.

Correct Answer is A

Explanation

a. As the placenta grows and becomes more metabolically active, it produces hormones that increase insulin resistance, leading to an increased need for insulin.
b. Women with insulin-dependent diabetes may be prone to hyperglycemia during pregnancy, but it is not due to consuming more simple sugar.
c. Maternal insulin requirements often increase during pregnancy due to increased insulin resistance.

d. Insulin crosses the placenta throughout pregnancy, and the fetus does not secrete its own insulin until after birth.

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is B

Explanation

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that: Select one:

Correct Answer is A

Explanation

A 25 years old patient at 38 weeks gestation who is in labor is being treated with magnesium sulfate for preeclampsia. Which nursing intervention does not correspond with this medication's toxicity? Select one:

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) baseline is around 130 beats/min, with four accelerations in 20 minutes, lasting 20 seconds each and the FHR increased more than 25 bpm. Which of the following actions should the nurse perform?

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth 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?