A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional and painless vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?

Incomplete miscarriage

Complete abortion

Missed abortion

Inevitable abortion

Answer and Explanation

The Correct Answer is C

a.   This occurs when some of the products of conception have been expelled from the uterus but some remain.
b.   This occurs when all of the products of conception have been expelled from the uterus.
c.   This occurs when the fetus has died but has not been expelled from the uterus.
d.   This occurs when the fetus has died and the cervix is dilated, but the products of conception have not been expelled from the uterus.

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Correct Answer is B

Explanation

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

A. Limit alcohol and tobacco consumption. B. Increase intake of iron-rich foods. C. Avoid foods containing aspartame. D. Consume foods fortified with folic acid

Correct Answer is ["D"]

Explanation

a. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
b. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
c. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
d. Folic acid supplementation before and during pregnancy has been shown to reduce the risk of NTDs in newborns.

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Naxlex Comprehensive Predictor Exams

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is B

Explanation

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has neural tube defects (NTD), which of the following information should the nurse include in the teaching? Select one:

Correct Answer is ["D"]

Explanation

When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: Select one:

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth Select one:

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

A 25 years old patient at 38 weeks gestation who is in labor is being treated with magnesium sulfate for preeclampsia. Which nursing intervention does not correspond with this medication's toxicity? Select one: