When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

point out that inappropriate sexual behavior caused the infection.

position the woman in a semi-Fowler position.

tell her that antibiotics need to be taken until pelvic pain is relieved.

explain to the woman that infertility is a likely outcome of this type of infection.

Answer and Explanation

The Correct Answer is B

Choice A reason: Pointing out that inappropriate sexual behavior caused the infection is not helpful, as it may make the woman feel guilty, ashamed, or defensive. The nurse should avoid blaming or judging the woman and focus on providing education and support.

Choice B reason: Positioning the patient in a semi-Fowler position (head of the bed elevated 30–45 degrees) helps promote drainage of pelvic exudate and reduces the risk of abscess formation or further spread of infection. This is a key nursing intervention for patients with acute pelvic inflammatory disease (PID).

Choice C reason: Telling her that antibiotics need to be taken until pelvic pain is relieved is incorrect, as it may lead to incomplete treatment and recurrence of the infection. The nurse should instruct the woman to take the full course of antibiotics as prescribed, regardless of the symptoms.

Choice D reason: While infertility is a potential complication of PID, it is not a guaranteed outcome. The nurse should provide accurate information about risks but avoid causing unnecessary alarm. The focus should be on prompt treatment and prevention of complications.

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Correct Answer is A

Explanation

Choice A reason:

Nagele's rule for calculating the estimated date of confinement (EDC) involves subtracting 3 months from the first day of the last menstrual period and adding 7 days. For February 13th, subtracting 3 months gives us November 13th, and adding 7 days gives us November 20th. This is the most accurate calculation for the estimated date of confinement.

Choice B reason:

This choice is not accurate according to Nagele's rule. Adding 7 days to November 13th would give November 20th, not November 27th.

Choice reason:

This choice is not accurate according to Nagele's rule. Adding 7 days to November 13th would give November 20th, not November 21st.

Choice D reason:

This choice is not accurate according to Nagele's rule. Subtracting 3 months from February 13th would give November 13th, not November 14th.

A. has no known contraindications. B. is slightly more expensive. C. has fewer false-positive results. D. is more sensitive in detecting fetal compromise.

Correct Answer is A

Explanation

Choice A reason: The NST has no known contraindications, as it is a non-invasive and safe test that does not stimulate uterine contractions or cause fetal distress. It is the most widely used method of antepartum fetal surveillance.

Choice B reason: The NST is not slightly more expensive than the CST, as it requires less time and equipment. The NST usually takes 20 to 40 minutes, while the CST may take up to 2 hours. The NST only needs a fetal monitor, while the CST also needs an intravenous line and oxytocin infusion.

Choice C reason: The NST does not have fewer false-positive results than the CST, as it has a higher rate of nonreactive results that may indicate fetal compromise when there is none. A nonreactive NST is one that does not show at least two accelerations of the fetal heart rate of 15 beats per minute or more lasting 15 seconds or more in a 20-minute period.

Choice D reason: The NST is not more sensitive in detecting fetal compromise than the CST, as it has a lower predictive value for fetal well-being. A reactive NST is one that shows at least two accelerations of the fetal heart rate of 15 beats per minute or more lasting 15 seconds or more in a 20-minute period. However, a reactive NST does not rule out the possibility of fetal hypoxia or acidosis.

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When providing care to a young single woman just diagnosed with acute pelvic inflammatory disease, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on February 13th. Which date is most accurate?

Correct Answer is A

Explanation

Compared with contraction stress test (CST), nonstress test (NST) for antepartum fetal assessment:

Correct Answer is A

Explanation

A pregnant woman presents to the emergency department complaining of persistent nausea and vomiting. She is diagnosed with hyperemesis gravidarum. The nurse should include which information when teaching about diet for hyperemesis? (Select all that apply)

Which suggestions should the nurse include when teaching about appropriate weight gain in pregnancy? (Select all that apply)

Which analysis of maternal serum may predict chromosomal abnormalities in the fetus?

Which pregnant woman should restrict her weight gain during pregnancy?

What is the best nursing intervention for a pregnant woman in her third trimester who complains of feeling faint, dizzy, and agitated while her vital signs are being assessed?

What is the cause of early decelerations in the fetal heart rate (FHR) of a laboring woman?

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?