A nurse in a prenatal clinic is collecting data from a client who is at 26 weeks of gestation. Which of the following findings reported by the client should the nurse report to the provider?

"Asymptomatic palpitations"

"Abdominal cramping"

"Bleeding gums"

"White vaginal discharge"

Answer and Explanation

The Correct Answer is B

A. Asymptomatic palpitations are generally not a concern during pregnancy. They can be a common and benign experience due to increased blood volume and changes in heart function.
B. Abdominal cramping at 26 weeks of gestation may indicate preterm labor or other complications and should be reported to the provider. Persistent or severe cramping can be a sign of potential issues requiring medical evaluation.
C. Bleeding gums are common due to increased blood flow and hormonal changes in pregnancy. This symptom is usually not serious but should still be monitored.
D. White vaginal discharge is normal during pregnancy and often increases as pregnancy progresses. It is usually not a sign of a problem unless accompanied by other symptoms.
Here’s a detailed answer for each of the s using the specified format:

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Correct Answer is A

Explanation

A. The Papanicolaou (Pap) test is used to detect abnormal cells on the cervix that could indicate cervical cancer or precancerous changes. It is a screening tool for early detection of cervical cancer and helps prevent the disease from developing.
B. The Pap test does not detect endometriosis. Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, and it requires different diagnostic methods such as laparoscopy.
C. The Pap test does not allow for the removal of uterine fibroids. Uterine fibroids are diagnosed and managed through other procedures, such as hysteroscopy or surgical removal.
D. The Pap test does not determine ovulation status. Ovulation status is assessed through methods like ovulation predictor kits or monitoring basal body temperature.

A. Blood pressure 156/80 mm Hg B. Temperature 38.3° C (101° F) C. Respiratory rate 32/min D. Apical pulse 66/min E. None F. None

Correct Answer is C

Explanation

A. Blood pressure 156/80 mm Hg is incorrect. While this blood pressure reading is elevated, hypertension is not a typical immediate sign of postpartum hemorrhage. Hemorrhage is more commonly associated with hypotension (low blood pressure) due to fluid loss.

B. Temperature 38.3° C (101° F) is incorrect. A mild fever may be common in the first 24 hours postpartum due to normal inflammatory responses. It is not specifically indicative of postpartum hemorrhage, though a persistent fever could indicate an infection.

C. Respiratory rate 32/min is correct. An increased respiratory rate can be a sign of hypovolemia (due to significant blood loss), which may occur with postpartum hemorrhage. The body compensates for decreased blood volume by increasing the respiratory rate.

D. Apical pulse 66/min is incorrect. A heart rate of 66/min is within normal limits and would not be indicative of postpartum hemorrhage. In fact, a tachycardic (elevated) heart rate is more concerning in the case of hemorrhage as the body tries to compensate for blood loss.

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A nurse in a prenatal clinic is collecting data from a client who is at 26 weeks of gestation. Which of the following findings reported by the client should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who asks about the purpose of a Papanicolaou test. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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