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:

Aspirin.

Morphine.

с. Aleve

IUDs.

Answer and Explanation

The Correct Answer is C

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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Correct Answer is A

Explanation

a. The nonstress test is considered reactive if there are two or more accelerations of the fetal heart rate (FHR) in a 20-minute period, lasting 15 seconds or longer and peaking at least 15 beats per minute above the baseline. The FHR baseline is between 110 and 160 beats per minute, with moderate variability. The test is considered nonreactive if these criteria are not met.
b. Turning the client onto her left side is not necessary, as the test is already reactive.
c. Encouraging the client to walk around is not necessary, as the test is already reactive.
d. Notifying the client's provider and preparing for induction of labor is not necessary, as the test is already reactive.
e. Offering the client a snack of orange juice is not necessary, as the test is already reactive.

A. Blood pressure 160/115 B. Anasarca C. Proteinuria 3+ D. Deep tendon reflexes

Correct Answer is D

Explanation

a. This is a sign of severe preeclampsia.

b. This is a sign of severe preeclampsia.

c. This is a sign of severe preeclampsia.

d. Deep tendon reflexes are not affected by preeclampsia, which is a hypertensive disorder of pregnancy characterized by high blood pressure, proteinuria, and edema.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer is D

Explanation

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

The nurse caring for the laboring woman should understand that early decelerations are caused by:

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:

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?

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:

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: