A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis.
When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

History of Smoking

Exercising daily

BMI 20%

Age 25 years .

Answer and Explanation

The Correct Answer is B

Choice A rationale
Smoking has been associated with an increased risk of developing endometriosis. It is thought that certain substances found in tobacco smoke may have a role in the development or progression of endometriosis14.
Choice B rationale
Regular exercise has been associated with a decreased risk of endometriosis. Physical activity may influence the body’s production of estrogen, a hormone that is thought to play a role in endometriosis14.
Choice C rationale
A higher body mass index (BMI) has been associated with a decreased risk of endometriosis. It is thought that body fat may influence the levels of hormones such as estrogen in the body14.
Choice D rationale
Age is a risk factor for endometriosis, with the condition being more common in women in their 30s and 40s. However, endometriosis can occur in any woman who has menstrual periods14.

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Correct Answer is D

Explanation

Choice A rationale
Bradypnea, or abnormally slow breathing, is not a typical symptom of fetal alcohol syndrome. It is more commonly associated with conditions such as sleep apnea, drug overdose, or certain neurological conditions.
Choice B rationale
Hydrocephaly, a condition where there is an accumulation of cerebrospinal fluid within the brain, is not a common symptom of fetal alcohol syndrome. It is typically caused by other conditions such as birth defects, infections, or brain injuries.
Choice C rationale
Nystagmus (involuntary eye movement) and hypoactivity (reduced activity level) are not typical symptoms of fetal alcohol syndrome. These symptoms can be associated with a variety of neurological or eye disorders.
Choice D rationale
Small palpebral fissures (small eye openings), missing vertical groove in the median portion of the upper lip, and a thin upper lip are all characteristic facial features of fetal alcohol syndrome. These features result from prenatal alcohol exposure, which can interfere with normal development.

A. Negative pregnancy test B. Prothrombin time of 40 seconds C. Hemoglobin level of 10.1 g/dl D. Serum cholesterol of 140 mg/dl

Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis. When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

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Naxlex Comprehensive Predictor Exams

A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?

Correct Answer is D

Explanation

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. What is the top priority nursing action?

A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate?

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

What behaviors are often exhibited by newborns whose mothers are substance abusers?

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis.
When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?