A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes.
The nurse observes several shallow, small vesicles on her pubis, labia, and perineum.
The nurse should recognize the client is exhibiting symptoms of which condition?

Genital warts.

German measles.

Syphilis.

Herpes simplex virus.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Genital warts, caused by human papillomavirus (HPV), typically present as small, flesh-colored or gray swellings in the genital area. They do not usually cause pain or vesicular lesions like those described. Genital warts may be flat or cauliflower-like in appearance but are generally distinct from the symptoms described in the question.

Choice B rationale

German measles (rubella) is a viral infection characterized by a red rash, mild fever, and swollen lymph nodes. It is not associated with vesicular lesions on the genital area. The virus primarily affects the respiratory system, and symptoms do not typically include shallow vesicles on the pubis, labia, and perineum.

Choice C rationale

Syphilis, caused by the bacterium Treponema pallidum, presents in stages. Primary syphilis manifests as a single sore (chancre), while secondary syphilis involves skin rashes and mucous membrane lesions. Tertiary syphilis can cause severe medical problems. The symptoms described do not align with any syphilis stage but rather suggest a different condition.

Choice D rationale

Herpes simplex virus (HSV) causes painful, shallow vesicles or ulcers in the genital area. HSV lesions are typically small, fluid-filled blisters that can rupture and form ulcers. The client's symptoms of shallow, small vesicles on her pubis, labia, and perineum are indicative of genital herpes.

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Correct Answer is D

Explanation

Choice A rationale

Monitoring hourly blood pressure is essential, but it is not the most crucial data in this scenario. Blood pressure monitoring can help identify maternal hypotension or hypertension, which can affect uteroplacental blood flow. However, hypotonic dystocia requires monitoring contractions to assess labor progression and effectiveness of oxytocin.

Choice B rationale

Preparing for an emergency cesarean birth is a potential intervention if labor does not progress or if fetal distress occurs. However, it is not the primary data to monitor initially. The decision for a cesarean is based on a comprehensive assessment, including fetal heart rate patterns and contraction quality.

Choice C rationale

Checking the perineum for bulging may indicate imminent delivery or fetal descent. However, in the context of hypotonic dystocia, the primary concern is evaluating contraction patterns to ensure the effectiveness of oxytocin in augmenting labor.

Choice D rationale

Monitoring the intensity, interval, and length of contractions is the most critical data in this case. Hypotonic dystocia involves weak, infrequent, or irregular contractions. Oxytocin is administered to strengthen and regularize contractions, so assessing their characteristics is crucial to determine the response to treatment and guide further interventions.

A. Gravida 4. B. Gravida 3. C. Gravida 5. D. Gravida 2.

Correct Answer is A

Explanation

Choice A rationale

Gravidity refers to the total number of times a woman has been pregnant, regardless of the outcome. This client has had one full-term infant, one premature infant, and one miscarriage, plus the current pregnancy, making a total of four pregnancies.

Choice B rationale

Gravidity is not determined by the number of live births. This client has had more than three pregnancies, so Gravida 3 is incorrect.

Choice C rationale

Gravidity does not count the number of live births and miscarriages separately. It counts the total number of pregnancies, making Gravida 5 incorrect in this context.

Choice D rationale

Gravida 2 would only apply if the client had been pregnant twice, which is not the case here.

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A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes.The nurse observes several shallow, small vesicles on her pubis, labia, and perineum.The nurse should recognize the client is exhibiting symptoms of which condition?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.Which is this client's gravidity?

Correct Answer is A

Explanation

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A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only)

A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes.
The nurse observes several shallow, small vesicles on her pubis, labia, and perineum.
The nurse should recognize the client is exhibiting symptoms of which condition?