A nurse in an obstetrical/gynecology office is assisting with the care of a client

Exhibits

Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

(Select all that apply)

Instruct client to avoid alcohol for 72 hours after treatment

Administer metronidazole 2 grams PO time one dose.

Have the client douche morning and right

Recommend the client's partner receive treatment

Answer and Explanation

Correct Answer : A,B,D

A.   Instructing the client to avoid alcohol for 72 hours after treatment is important to avoid interactions with metronidazole.
B.   Administering metronidazole 2 grams PO as a one-time dose is appropriate for the treatment of trichomoniasis, a sexually transmitted infection characterized by frothy, yellow- green, malodorous discharge. Metronidazole is an effective treatment for this condition.
C.   Douching is generally not recommended, especially in cases of vaginal infections, as it can disrupt the natural balance of vaginal flora and potentially worsen symptoms. Therefore, the nurse should not anticipate receiving a prescription for client douching.
D.   Recommending the client's partner receive treatment is important to prevent reinfection and transmission of the infection. Trichomoniasis is a sexually transmitted infection, and both partners should be treated simultaneously to prevent recurrence.

E.   Performing an oatmeal sitz bath is not part of treatment for vaginal infections.

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Correct Answer is C

Explanation

A. At 22 weeks of gestation, the uterine fundus is typically found above the level of the umbilicus. The umbilicus corresponds to 20 weeks gestation

B. 3 cm below the umbilicus would be expected earlier in the second trimester, not at 22 weeks.

C. 3 cm above the umbilicus is generally observed later in the second trimester, closer to 22 weeks of gestation.

D. 5 cm above the umbilicus would be too high for a fundal height at 22 weeks of gestation and is more likely to be observed later in pregnancy.

A. Blood pressure B. Respiratory rate C. Gastrointestinal assessment findings D. Cerebral manifestations E. Deep tendon reflexes F. Fetal heart rate

Correct Answer is ["A","D","E","F"]

Explanation

Rationale:

A. Blood pressure: Changes in blood pressure, particularly elevated blood pressure, could indicate gestational hypertension or preeclampsia, which require prompt evaluation and management, especially in the context of observed facial and lower extremity edema.

B. Respiratory rate: While respiratory rate is important, the given physical examination does not suggest any abnormalities in respiratory status. Therefore, it is not a priority finding to report in this scenario.

C. Gastrointestinal assessment findings: Gastrointestinal findings are not typically pertinent to the assessment of a routine prenatal visit at 36 weeks of gestation unless the client presents with specific gastrointestinal symptoms or concerns.

D. Cerebral manifestations: Any cerebral manifestations such as changes in consciousness, severe headache, visual disturbances, or epigastric pain could indicate preeclampsia or other neurological issues and should be reported for further evaluation.

E. Deep tendon reflexes: A patellar reflex of 3 may indicate hyperreflexia, which, in conjunction with other signs, could suggest preeclampsia. Therefore, it should be reported to the provider for further assessment.

F. Fetal heart rate: Monitoring fetal well-being is essential in prenatal care. Any abnormalities in fetal heart rate, such as persistent tachycardia or bradycardia, should be reported promptly for further evaluation.

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A nurse in an obstetrical/gynecology office is assisting with the care of a client Exhibits Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus?

Correct Answer is C

Explanation

Correct Answer is ["A","D","E","F"]

Explanation

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A nurse in an obstetrical/gynecology office is assisting with the care of a client Exhibits Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider? (Select all that apply)

A nurse in an obstetrical/gynecology office is assisting with the care of a client

Exhibits

Based on the information found in the client's medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

(Select all that apply)