Which information is important for a woman to understand before undergoing a scheduled tubal ligation?

The procedure will reduce her menstrual flow in amount

She should schedule it to be done just before a menstrual flow

She will have lessened dysmenorrhea following the procedure

She must think of the procedure as irreversible.

Answer and Explanation

The Correct Answer is D

D. Tubal ligation is considered a permanent method of contraception. It is important for the woman to understand and consent to the irreversibility of the procedure. While procedures for tubal reversal do exist, they are not always successful and are generally more complex than the initial sterilization procedure.

A. Tubal ligation does not affect menstrual flow. It involves blocking or sealing the fallopian tubes to prevent pregnancy but does not alter the menstrual cycle or flow. Therefore, it is not necessary for the woman to expect any change in her menstrual flow after the procedure.

B. The timing of tubal ligation is not related to menstrual cycles. The procedure can be scheduled at any time in the menstrual cycle based on medical and scheduling considerations. It does not require synchronization with menstrual periods for any specific reason related to the procedure's effectiveness or outcomes.

C. Dysmenorrhea refers to painful menstrual periods, and tubal ligation does not alleviate or affect menstrual pain. The procedure primarily prevents pregnancy by blocking the fallopian tubes and does not influence menstrual symptoms or disorders like dysmenorrhea.

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Correct Answer is D

Explanation

D. Elevated blood pressure (hypertension) is a hallmark sign of preeclampsia. In pregnant women, hypertension is defined as a systolic blood pressure of 140 mm Hg or higher and/or a diastolic blood pressure of 90 mm Hg or higher on two occasions at least 4 hours apart after 20 weeks of gestation in a woman with previously normal blood pressure. This is a critical finding that requires immediate attention and further evaluation to confirm the diagnosis and assess the severity of preeclampsia.

A. Vaginal discharge may indicate other conditions such as infections, which should be evaluated separately. While certain types of discharge could potentially indicate an infection that might indirectly affect blood pressure or overall health, it is not a direct symptom of preeclampsia.

B. Not a typical symptom of preeclampsia. Preeclampsia more commonly presents with reduced urine output (oliguria) due to impaired kidney function. Increased urine output can occur in pregnancy due to hormonal changes or increased fluid intake, but it is not a specific sign of preeclampsia.

C. Not typically a primary symptom of preeclampsia. Joint pain is more commonly associated with other conditions such as arthritis or hormonal changes during pregnancy. It is not a hallmark symptom of preeclampsia, which primarily involves hypertension and organ damage.

A. Have the client ambulate. B. Apply warm, moist heat to the client's lower extremities. C. Massage the client's posterior lower legs. D. Place pillows under the client's knees when resting in bed.

Correct Answer is A

Explanation

A. Early ambulation is essential to prevent venous stasis and reduce the risk of thromboembolism. Ambulation helps promote blood circulation in the lower extremities, which is important in preventing blood clots. Walking also aids in restoring normal bowel function and enhances overall recovery after cesarean birth.

B. While warm, moist heat can provide comfort, it does not directly prevent thromboembolic complications. It may help with muscle relaxation and discomfort but is not a primary intervention for clients at risk of thromboembolic disease.

C. Massaging the lower legs could potentially dislodge clots or cause embolization in clients with a history of thromboembolic disease. Therefore, it is contraindicated in this situation as it can increase the risk of complications rather than prevent them.

D. Placing pillows under the knees helps promote comfort and relaxation but does not directly prevent thromboembolic complications. It is a supportive measure rather than a primary intervention for thromboembolism prevention.

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Which information is important for a woman to understand before undergoing a scheduled tubal ligation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

Correct Answer is D

Explanation

A nurse is planning care for a client who is 2 hours postpartum following a cesarean birth. The client has a history of thromboembolic disease. Which of the following nursing interventions should be included in the plan of care?

Correct Answer is A

Explanation

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