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).
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
a. Bulging of the vulva: This indicates that the fetal head is descending but does not necessarily mean the woman is almost ready to give birth. This indicates that the fetal head is crowning and putting pressure on the perineum, which means that delivery is imminent.
b. This indicates that the amniotic sac has ruptured but does not necessarily mean the woman is almost ready to give birth.
c. The fetal head at 0 station means that it is at the level of the maternal ischial spines, but it still needs to descend further to reach the perineum.
d. This indicates that the woman is in the early stages of labor but does not necessarily mean she is almost ready to give birth.
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