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A nurse is caring for a client with a new diagnosis of a vaginal fistula.
The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?

Open heart surgery.

Tissue trauma from childbirth.

Diabetes mellitus.

Preeclampsia.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Open heart surgery is unrelated to the development of vaginal fistulas.

Choice B rationale

Tissue trauma from childbirth can cause vaginal fistulas, as prolonged labor or obstetric interventions can damage vaginal tissue and lead to fistula formation.

Choice C rationale

Diabetes mellitus does not directly cause vaginal fistulas, although it can affect overall tissue health and healing.

Choice D rationale

Preeclampsia, while a serious pregnancy complication, is not a direct cause of vaginal fistulas.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Based on the provided information:

The client had a vacuum-assisted vaginal delivery with a heavy lochia and small clots noted.
A boggy fundus and the need for oxytocin infusion also indicate an increased risk for excessive bleeding.

Given these observations, the client is at the highest risk for developing Postpartum hemorrhage (Option A) due to Heavy lochia with small clots (Option C).

So, the completed sentence would be:

"The client is at highest risk for developing Postpartum hemorrhage due to Heavy lochia with small clots."

Correct Answer is ["2"]

Explanation

Step 1 is: 12 mg ÷ 6 mg/ml.

Step 2 is: 12 ÷ 6 = 2 ml. Answer: 2 ml

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A nurse is caring for a client with a new diagnosis of a vaginal fistula.The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Exhibits Complete the following sentence using the list of options: The client is at highest risk for developing dropdown due to dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

A nurse is preparing to administer betamethasone 12mg IM to a client at 32 weeks gestation at risk for preterm delivery. Betamethasone is available as 6mg/ml. How many ml will the nurse prepare for injection? (Use a leading zero, if it applies. Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

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A nurse is caring for a client with a new diagnosis of a vaginal fistula.
The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?