A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.
Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

A history of pelvic inflammatory disease (PID).

An atypical Papanicolaou smear at her last clinic visit.

Dysmenorrhea that is unresponsive to NSAIDS.

Abdominal bloating starting several days before menses.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While pelvic inflammatory disease can lead to infertility, it does not specifically cause endometriosis. PID involves infection of the reproductive organs, while endometriosis is the presence of endometrial tissue outside the uterus, characterized by pain and inflammation during menstruation.

Choice B rationale

An atypical Papanicolaou smear indicates abnormal cervical cells, often related to infection or precancerous changes, but is not indicative of endometriosis. Endometriosis involves ectopic endometrial tissue and does not affect cervical cell morphology directly.

Choice C rationale

Dysmenorrhea unresponsive to NSAIDs is a hallmark of endometriosis. This condition causes severe pain due to the inflammation and cyclic bleeding of ectopic endometrial tissue, often resulting in scarring and adhesions that exacerbate discomfort during menstruation.

Choice D rationale

Abdominal bloating starting before menses may be associated with premenstrual syndrome or other hormonal changes rather than endometriosis. Although some women with endometriosis report bloating, it is not a definitive diagnostic criterion compared to chronic pain and infertility.

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Correct Answer is C

Explanation

Choice A rationale

Performing a sterile vaginal exam assesses cervical dilation and effacement, which is essential for labor progression. However, it poses an infection risk after membrane rupture and should follow fetal heart rate evaluation to ensure fetal well-being.

Choice B rationale

Establishing IV access is important for administering fluids or medications. Still, it is not immediately necessary without first assessing the fetal and maternal condition, which dictates further intervention needs.

Choice C rationale

Obtaining the fetal heart rate is the priority after membrane rupture and bloody show. It evaluates fetal oxygenation and well-being, especially with frequent contractions. Tachycardia or decelerations may indicate distress, necessitating immediate intervention.

Choice D rationale

Assessing maternal vital signs provides insight into hemodynamic status but is secondary to immediate fetal monitoring. Fetal heart rate assessment directs urgent management, especially in high-risk scenarios like ruptured membranes and bloody show. .

A. Liver function. B. Blood urea nitrogen (BUN). C. Thyroid-stimulating hormone. D. Serum glucose levels.

Correct Answer is D

Explanation

Choice A rationale

Liver function tests, while important for identifying hepatic disorders, are not directly associated with polycystic ovarian syndrome (PCOS). PCOS is primarily an endocrine disorder affecting reproductive hormones, not liver function.

Choice B rationale

Blood urea nitrogen (BUN) is used to assess renal function but is not typically relevant for PCOS. PCOS does not inherently affect kidney function, making this test unnecessary in routine monitoring for this condition.

Choice C rationale

Thyroid-stimulating hormone levels are assessed to rule out thyroid dysfunction, which can present with similar symptoms to PCOS. However, thyroid issues are not caused by PCOS and monitoring TSH is not central to PCOS management.

Choice D rationale

Serum glucose levels are critical in PCOS management due to the increased risk of insulin resistance and type 2 diabetes. Monitoring these levels helps to manage glucose metabolism and prevent complications, making it a key parameter in care for PCOS patients.

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A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?

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Naxlex Comprehensive Predictor Exams

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A clinic nurse is assessing a client with a suspected diagnosis of endometriosis.
Which of the following findings in the client's medical history should the nurse identify as consistent with a diagnosis of endometriosis?