Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

I am a terrible mother and should give my child up for adoption.

This is just normal baby blues and I will be fine in a few days.

I will have to be on medications the rest of my lifE.

I am not alone, I am not to blame, I will get better with help.

Answer and Explanation

The Correct Answer is D

Choice A: I am a terrible mother and should give my child up for adoption. This is a false and harmful statement that reflects low self-esteem, guilt, and hopelessness. These are common symptoms of perinatal mood and anxiety disorder, but they do not reflect the reality or the potential of the patient. The patient needs support, counseling, and possibly medication to overcome these negative thoughts.

Choice B: This is just normal baby blues and I will be fine in a few days. This is a false and minimizing statement that denies the severity and duration of perinatal mood and anxiety disorder. Baby blues are mild and transient mood changes that occur in the first two weeks after delivery. Perinatal mood and anxiety disorder is a more serious and persistent condition that can affect the mother's mental health, bonding with the baby, and daily functioninG. The patient needs to recognize the signs and symptoms of perinatal mood and anxiety disorder and seek professional help.

Choice C: I will have to be on medications the rest of my lifE. This is a false and pessimistic statement that assumes that perinatal mood and anxiety disorder is a chronic and incurable condition. Medications are one of the treatment options for perinatal mood and anxiety disorder, but they are not the only onE. Psychotherapy, peer support, lifestyle changes, and alternative therapies are also effective ways to manage perinatal mood and anxiety disorder. The patient needs to have a realistic and hopeful outlook on the recovery process and the possibility of remission.

Choice D: I am not alone, I am not to blame, I will get better with help. This is a true and empowering statement that reflects the key messages of perinatal mood and anxiety disorder education and awareness. The patient needs to know that perinatal mood and anxiety disorder is a common and treatable condition that affects many women around the worlD. The patient needs to understand that perinatal mood and anxiety disorder is not caused by personal weakness, failure, or fault. The patient needs to believe that perinatal mood and anxiety disorder can be overcome with the help of health care providers, family, friends, and support groups.

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Correct Answer is B

Explanation

Choice A: Copious vaginal bleeding is not a typical sign of ectopic pregnancy. It may occur in some cases, but it is more likely to indicate a miscarriage, placenta previa, or placental abruption.

Choice B: Pelvic pain is the most common symptom of ectopic pregnancy. It usually occurs on one side of the lower abdomen and may be sharp, dull, or crampinG. The pain may worsen with movement or pressurE.

Choice C: Severe nausea and vomiting are not specific to ectopic pregnancy. They may occur in any pregnancy, especially in the first trimester. They may also be caused by other conditions, such as gastroenteritis, food poisoning, or appendicitis.

Choice D: Uterine enlargement greater than expected for gestational age is not a sign of ectopic pregnancy. It may indicate a multiple pregnancy, a molar pregnancy, or a large fibroiD. Ectopic pregnancy usually causes a smaller-than-normal uterus, because the embryo is not implanted in the uterine cavity.

A. Severe abdominal pain with increasing fundal height B. A large amount of bright red vaginal bleeding without pain C. Intermittent abdominal pain following passage of bloody mucus D. Abdominal pain with minimal red vaginal bleeding

Correct Answer is B

Explanation

Choice A reason: This is not the correct finding because it indicates a possible uterine rupture, which is a complication of placental abruption, not placenta previA. Placental abruption is the premature separation of the placenta from the uterine wall, which can cause severe pain, bleeding, and fetal distress.

Choice B reason: This is the correct finding because it indicates a possible placenta previa, which is the implantation of the placenta over or near the cervical os. Placenta previa can cause painless bleeding that increases as the cervix dilates and effaces.

Choice C reason: This is not the correct finding because it indicates a possible onset of labor, which is not a complication of placenta previA. Labor can cause contractions, bloody show, and cervical changes, but it does not cause excessive bleeding or pain.

Choice D reason: This is not the correct finding because it indicates a possible marginal placenta previa, which is a less severe form of placenta previa that does not cover the cervical os. Marginal placenta previa can cause mild bleeding and pain, but it is not as dangerous as a complete or partial placenta previA.

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Your patient is diagnosed with perinatal mood and anxiety disorder. You know your patient understands your teaching about this when she states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previ

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis for L/S ratio. The client needs an amniocentesis to determine which of the following findings?

Benefits of immediate skin to skin contact include (Select all that apply):

A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):

A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?

A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backachE. Which of the following factors is a contributing cause of difficult, prolonged labor?

A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

A nurse is assisting in the care of a client who is in active labor. The nurse notes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take FIRST?