A 16-year-old pregnant female exercises at the gym 3 times a week. Which choice should not deter her from exercising?
Nausea prior to exercising
Calf pain
Pain in the back, hips or pubic area
Chest pain
The Correct Answer is A
Rationale:
A. Mild nausea prior to exercising is generally not a contraindication to physical activity during pregnancy. The patient can adjust intensity or timing of exercise, but routine exercise is still encouraged if tolerated.
B. Calf pain could indicate a deep vein thrombosis (DVT), which is a serious condition requiring immediate medical evaluation and would warrant stopping exercise.
C. Pain in the back, hips, or pubic area may signal musculoskeletal strain or pelvic girdle dysfunction, which can be aggravated by exercise and should be evaluated.
D. Chest pain during pregnancy could indicate cardiac or pulmonary complications and is an immediate reason to discontinue exercise and seek urgent medical care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. A micropenis and jitterness are more characteristic of congenital hypopituitarism or other endocrine disorders, not primary congenital hypothyroidism.
B. Vomiting, lethargy, and poor feeding are nonspecific and could indicate many neonatal conditions but do not specifically point to congenital hypothyroidism.
C. Decreased activity, a large anterior fontanel, and poor feeding are classic signs of congenital hypothyroidism. Infants may also present with hypotonia, prolonged jaundice, constipation, and a hoarse cry. Early detection is critical to prevent growth retardation and intellectual disability.
D. Rapid heart rate, irritability, and frequent stools are more suggestive of hyperthyroidism or other metabolic conditions, not hypothyroidism.
Correct Answer is D
Explanation
Rationale:
A. While the newborn liver has some immaturity, the main reason for vitamin K administration is not liver production alone.
B. Hemolysis of fetal red blood cells does not significantly affect coagulation factor levels requiring vitamin K.
C. Newborns receive vitamin K through breast milk or formula, but the immediate postnatal administration is not due to dietary deficiency.
D. Newborns are born with a sterile gut, lacking the intestinal flora that synthesize vitamin K. This predisposes them to vitamin K deficiency and increases the risk of hemorrhagic disease of the newborn, so prophylactic vitamin K is administered shortly after birth.
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