The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

The type of contraceptive being used by the patient and her partner.

The number of past pregnancies the patient has had.

The patient’s age of menarche.

History of iodine allergy.

Answer and Explanation

The Correct Answer is D

Choice A rationale

The type of contraceptive used is not directly relevant for a hysterosalpingogram test. The test focuses on the structure and patency of the uterine cavity and fallopian tubes, not contraceptive history.

Choice B rationale

While the number of past pregnancies might be clinically relevant, it does not directly impact the hysterosalpingogram procedure. This test is typically used to evaluate tubal patency and uterine abnormalities regardless of pregnancy history.

Choice C rationale

The patient's age of menarche is not pertinent to a hysterosalpingogram test. Menarche age relates more to puberty and menstrual cycle history, which are not focal points of this imaging procedure.

Choice D rationale

Iodine allergy is crucial to identify before a hysterosalpingogram, as the procedure often involves the use of an iodine-based contrast dye. Identifying allergies helps prevent potential allergic reactions to the dye.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale

Calculating the estimated date of birth involves determining the gestational age. Gestational age is crucial for monitoring fetal development and timing prenatal care.

Choice B rationale

Obtaining the client’s personal and family medical history helps identify genetic risks, potential complications, and health conditions that may affect pregnancy and delivery.

Choice C rationale

Obtaining information about prior pregnancies provides insight into potential risks and outcomes. Previous pregnancy complications can indicate risks for the current pregnancy.

Choice D rationale

Checking the client’s urine with a reagent strip screens for urinary tract infections, protein, and glucose levels. UTIs can cause complications, while protein and glucose levels help monitor maternal health.

Choice E rationale

Scheduling the client for prenatal laboratory testing, such as blood work and ultrasounds, helps assess maternal and fetal health. Tests like blood type, Rh factor, and infectious diseases are essential for prenatal care.

Choice F rationale

Discussing chorionic villus sampling is not necessary at 18 weeks of gestation. CVS is typically performed between 10-13 weeks for early genetic testing.

A. Amniocentesis may be used to assess if you have preeclampsia. B. A non-stress test may be used to measure fetal heart rate. C. Chorionic villus sampling may be done to assess for neural tube defects. D. You may need to fill up your bladder prior to an ultrasound. E. Oral Glucose tolerance testing will measure fetal activity at certain intervals.

Correct Answer is ["B","D"]

Explanation

Choice A rationale

Amniocentesis assesses fetal lung maturity, genetic disorders, and infections, not preeclampsia. Preeclampsia diagnosis involves blood pressure, proteinuria, and other lab tests. Normal blood pressure: <120/80 mm Hg. Proteinuria: >300 mg/day.

Choice B rationale

A non-stress test measures fetal heart rate response to movements, evaluating fetal well-being. Normal fetal heart rate: 110-160 bpm. Accelerations: 15 bpm increase for at least 15 seconds.

Choice C rationale

Chorionic villus sampling assesses chromosomal abnormalities, genetic disorders, not neural tube defects. Neural tube defect screening: maternal serum alpha-fetoprotein levels, ultrasound. Normal alpha-fetoprotein: 0.5-2.5 MoM.

Choice D rationale

A full bladder helps lift the uterus for better visualization during ultrasound, especially in early pregnancy. This improves image quality for assessing fetal development and other structures.

Choice E rationale

Oral glucose tolerance test assesses gestational diabetes by measuring blood glucose levels, not fetal activity. Normal fasting blood glucose: <95 mg/dL. 1-hour post-glucose: <180 mg/dL.

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The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["B","D"]

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