A nurse is collecting data from the electronic health records (EHR) of a group of clients before their prenatal visits.
Which of the following clients should the nurse identify as at risk for hypothyroidism?
The client who tested positive for a mutation of the GDF15 gene.
The client whose TSH levels are low and whose T4 levels are currently elevated.
The client who was diagnosed with Hashimoto's disease.
The client who tested positive for Helicobacter pylori infection.
The Correct Answer is C
Choice A rationale
While mutations in certain genes can increase the risk of various conditions, a positive test for a mutation of the GDF15 gene is not specifically associated with hypothyroidism.
Choice B rationale
Low TSH and elevated T4 levels typically indicate hyperthyroidism, not hypothyroidism. Hypothyroidism is characterized by high TSH and low T4 levels.
Choice C rationale
Hashimoto's disease is an autoimmune disorder that destroys thyroid tissue, leading to hypothyroidism due to reduced thyroid hormone production.
Choice D rationale
Helicobacter pylori infection is associated with gastrointestinal issues, but it is not directly linked to an increased risk of hypothyroidism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.
Choice B rationale
The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.
Choice C rationale
The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.
Choice D rationale
The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.
Correct Answer is D
Explanation
Choice A rationale
Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.
Choice B rationale
Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.
Choice C rationale
Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.
Choice D rationale
Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.
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