A client reports experiencing bleeding between menstrual periods during a health history interview.
How should the nurse document this finding?
Pyorrhea
Dysmenorrhea
Menorrhagia
Metrorrhagia .
The Correct Answer is D
Choice A rationale
Pyorrhea, also known as periodontitis, is a severe gum infection that damages gums and can destroy the jawbone. It is not related to bleeding between menstrual periods.
Choice B rationale
Dysmenorrhea refers to painful periods, not bleeding between periods.
Choice C rationale
Menorrhagia is a term used to describe heavy or prolonged menstrual bleeding, not bleeding between periods.
Choice D rationale
Metrorrhagia is the term used to describe bleeding between menstrual periods. When documenting this finding, it’s helpful to keep a record of the menstrual cycle, noting when periods begin and end, the heaviness and duration of the flow, and when and how much bleeding occurs between periods.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Strabismus, or crossed eyes, is a condition that typically requires treatment and is not normal in newborns. It involves a lack of coordination between the muscles that control eye movement, causing the eyes to point in different directions.
Choice B rationale
While it’s important to report concerns to the primary care provider, this statement does not directly address the mother’s concern about her newborn’s crossed eyes.
Choice C rationale
Taking the baby to the nursery for further examination may be necessary in some cases, but it does not provide the mother with immediate reassurance or information about her newborn’s condition.
Choice D rationale
Newborns often lack the muscle control necessary to regulate eye movement, which can cause their eyes to cross. This is a normal part of development and typically resolves on its own within the first few months of life.
Correct Answer is B
Explanation
Choice A rationale
Frothy pink drainage is not typically associated with an upper gastrointestinal bleed. This type of drainage might be seen in other conditions, such as pulmonary edema where the fluid from the lungs can sometimes appear frothy and pink.
Choice B rationale
Coffee-ground drainage is a common finding in patients with an active upper gastrointestinal bleed. When blood mixes with gastric acid, it can create a substance that resembles coffee grounds. This is often seen when a nasogastric (NG) tube is inserted into the patient.
Choice C rationale
Dark amber drainage is not typically associated with an upper gastrointestinal bleed. This type of drainage might be seen in other conditions, such as liver disease where the urine can sometimes appear dark amber.
Choice D rationale
Greenish-yellow drainage is not typically associated with an upper gastrointestinal bleed. This type of drainage might be seen in other conditions, such as bile duct obstruction where the bile can sometimes appear greenish-yellow.
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