A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap) smear. The test revealed that the patient has human papillomavirus (HPV). The patient asks, "What is that? Can you get rid of it?" Your best response is:
Just a little lump on your cervix. We can freeze it off.
You probably caught this from your current boyfriend. He should get tested for this.
HPV is a type of early human immunodeficiency virus (HIV). You will die from this.
HPV stands for human papillomavirus. It is a sexually transmitted infection (STI) that can lead to cervical cancer. There is no known cure but symptoms are treatable.
The Correct Answer is D
Choice A reason: This is a misleading and dismissive response that does not explain what HPV is or how it can affect the patient's health. It also implies that the patient's condition is trivial and easily resolved, which is not true.
Choice B reason: This is a judgmental and accusatory response that does not answer the patient's question. It also assumes that the patient's current partner is the source of the infection, which may not be the case. HPV can remain dormant for years and be transmitted by previous partners.
Choice C reason: This is a false and alarming response that does not provide accurate information about HPV or HIV. It also scares the patient unnecessarily and does not offer any hope or support.
Choice D reason: This is the best response as it provides a clear and factual explanation of what HPV is and how it can affect the patient's health. It also acknowledges that there is no cure for the infection but that the symptoms can be managed with proper treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is too short of a time frame for seroconversion to occur. Seroconversion is the process of developing antibodies to HIV, which can be detected by a blood test. It usually takes several weeks for the immune system to produce enough antibodies to be measurable.
Choice B reason: This is the typical time frame for seroconversion to occur. Most people will develop antibodies to HIV within 6 to 12 weeks after exposure. However, some people may take longer, up to 6 months or more.
Choice C reason: This is the upper limit of the time frame for seroconversion to occur. Some people may have a delayed antibody response to HIV, especially if they have a weakened immune system or take antiretroviral drugs. Therefore, it is recommended to repeat the HIV test after 6 months of exposure to confirm the diagnosis.
Choice D reason: This is an arbitrary time frame that does not reflect the average or the range of seroconversion. It is neither too short nor too long, but it is not accurate.
Correct Answer is D
Explanation
Choice A reason: Congenital anomalies of the central nervous system are not a common complication of GDM, as they usually occur in the first trimester, before GDM develops. However, GDM can increase the risk of other congenital anomalies, such as cardiac defects or neural tube defects.
Choice B reason: Preterm birth is a possible complication of GDM, as it can be caused by maternal hypertension, preeclampsia, or placental abruption. However, it is not the most likely complication, as GDM can also delay the onset of labor and prolong the pregnancy.
Choice C reason: Low birth weight is not a typical complication of GDM, as it is more associated with intrauterine growth restriction (IUGR), which is caused by placental insufficiency. GDM can cause the opposite problem, which is excessive fetal growth.
Choice D reason: Macrosomia is the most common complication of GDM, as it is defined as a birth weight of more than 4,000 grams (8.8 pounds). It is caused by the excess glucose crossing the placenta and stimulating the fetal insulin production, which leads to increased fat deposition and organ enlargement. Macrosomia can increase the risk of birth trauma, shoulder dystocia, and neonatal hypoglycemia.
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