A 25-year-old female, with no prenatal care, is brought into your LAD unit by ambulance with vagina bleeding Based upon what she thinks in her LMP, she is suspected of being 26 weeks of gestation. The patients combative, yelling at staff, and refuses to change into a patient gown. The nurse suspects possible drug use and history of psychological disorders. She has had no prenatal care. What is not an appropriate nursing action at this time?

Ensure that the patient's external environment is free from excessive stimuli.

Ask her what drugs she has taken and when was the last time.

Administer prescribed sedatives.

Perform a vaginal exam.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Ensuring a calm environment by minimizing excessive stimuli is important for the safety and well-being of the patient.

B. Asking about drug use is essential to understand potential risks and provide appropriate care.

C. Administering sedatives to a combative patient without assessing the situation further could be dangerous. It could harm the patient and fetus, especially if drug use or psychological disorders are suspected.

D. Performing a vaginal exam is necessary to assess bleeding and determine if there are any signs of preterm labor or other complications.

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Correct Answer is A

Explanation

A. Scarring or malformation of the fallopian tube increases the risk of an ectopic pregnancy. This condition can prevent the fertilized egg from traveling properly to the uterus, leading to implantation in the fallopian tube.

B. Urinary tract infections are not directly related to malformation or scarring of the fallopian tubes.

C. Decreased estrogen levels are not directly caused by fallopian tube scarring.

D. Early menopause is unrelated to fallopian tube scarring, which typically affects fertility but not directly menopause onset.

Correct Answer is ["1"]

Explanation

The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client had an ultrasound as part of an infertility work up. Upon reading the report, the nurse notices the radiology report notes malformation and scaring of the right fallopian tube. The nurse knows this client is most at risk for ______.

Correct Answer is A

Explanation

This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).

Correct Answer is ["1"]

Explanation

partner have been trying to conceive for the past 6 months. The client's medical history is significant for diabetes migraine headaches, fibromyalgia, and pelvic inflammatory disease (PID). Which reason is most likely causing the client's infertility?

The nurse working in the prenatal clinic has a patient who states her last menstrual period was April 15th. Using Nagelle's rule, what is her due date?

A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

You are counseling with a group of women who are wanting to get pregnant. Which of the following will you include in your teaching in order to enhance fertility? (Select all that apply).

A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

A woman had a recommended caloric intake of 2000 calories per day before becoming pregnant. She delivers and is breastfeeding. How many calories per day is recommended for her now?