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 D
Explanation
Rationale:
A. A pericardial friction rub is a scratching or grating sound caused by inflammation of the pericardium and is not typically described as a pansystolic murmur.
B. A venous hum is a continuous, low-pitched sound heard over the neck and upper chest, not a harsh pansystolic murmur at the lower left sternal border.
C. A patent ductus arteriosus usually produces a continuous “machinery-like” murmur rather than a pansystolic murmur.
D. A ventricular septal defect (VSD) often presents as a pansystolic, harsh murmur best heard at the lower left sternal border. The intensity of the murmur may vary with the size of the defect, but this location and quality are classic for VSD in a young child.
Correct Answer is A
Explanation
Rationale:
A. Tinea capitis, a fungal infection of the scalp, commonly presents with round, scaly patches and broken hairs close to the scalp. It often causes itching and may lead to mild inflammation.
B. Seborrheic dermatitis typically presents with greasy, yellowish scales rather than broken hairs.
C. Trichotillomania is characterized by hair loss due to repetitive pulling, often with irregular patches and no scaling.
D. Alopecia areata presents as smooth, well-demarcated, non-scaly patches of hair loss without broken hairs.
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