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. This is a common symptom in early pregnancy and is not specific to a hydatidiform mole.
b. This finding suggests that the uterus is larger than expected for the gestational age and may indicate a hydatidiform mole.
c. This is a normal finding in pregnancy and is not specific to a hydatidiform mole.
d. This is a normal blood pressure and is not specific to a hydatidiform mole.

A. On the day 14 of her menstrual cycle B. Every morning before arising C. 2 hours following intercourse D. At noon after lunch

Correct Answer is B

Explanation

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

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Naxlex Comprehensive Predictor Exams

Which finding on a prenatal visit at 12 weeks could suggest a hydatidiform mole (molar pregnancy)? Select one:

Correct Answer is B

Explanation

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is B

Explanation

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

A woman who is 34 weeks pregnant is informed by the nurse that a danger sign of pregnancy and fetal well being could be Select one:

The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What is the function of ductus arteriosus? 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 admitting a client who has a diagnosis of preterm labor. The nurse anticipal a prescription by the provider for which of the following medications? (Select all that apply.)