A 15-year-old female who is sexually active suspects that she might be pregnant. If she were pregnant, the physical exam should reveal:
a slight increase in blood pressure.
softening of the cervix.
alkaline vaginal pH.
hypopigmentation of the areolae.
The Correct Answer is B
Rationale:
A. Blood pressure typically decreases slightly in early pregnancy due to vasodilation rather than increasing.
B. Softening of the cervix, known as Goodell’s sign, is an early physical change observed in pregnancy and is a reliable clinical indicator along with other signs such as Chadwick’s sign (bluish discoloration of the cervix and vagina).
C. Vaginal pH becomes more acidic during pregnancy, not alkaline, due to increased lactic acid from lactobacilli.
D. Hyperpigmentation, rather than hypopigmentation, may occur in areas such as the areolae, linea nigra, and face (melasma) during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. The CDC recommends that the HPV vaccine series be initiated in males at ages 11–12 years for optimal immunogenic response and before potential exposure to HPV through sexual activity.
B. While vaccination between ages 13 and 16 is still effective, it is considered a catch-up period rather than the recommended age for routine initiation.
C. Ages 13–26 include catch-up vaccination for those who were not vaccinated earlier, but this is not the routine initial recommendation.
D. Age 8–9 is earlier than the recommended age for HPV vaccination and is generally not indicated unless specific high-risk factors are present.
Correct Answer is C
Explanation
Rationale:
A. Warfarin is used for anticoagulation in certain cardiac conditions but is not the primary treatment for post-surgical infection.
B. IV immune globulin is used for conditions like Kawasaki disease or immunodeficiencies, not typical post-operative infections.
C. IV antibiotics should be considered because the child presents with fever, lethargy, chest pain, and shortness of breath four weeks after heart surgery, which are concerning for post-operative infection or bacterial endocarditis. Prompt initiation of IV antibiotics is critical to prevent serious complications.
D. Aspirin may be indicated for anti-inflammatory or antiplatelet purposes in some cardiac conditions, but it does not treat infection.
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