A nurse is providing discharge teaching for a client following surgery for a molar pregnancy.
Which of the following client statements indicates an understanding of the discharge teaching?
It's normal to have a fever for a few days following surgery.
I will call my doctor if I experience heavy vaginal bleeding.
I will start trying to get pregnant right away.
I don't have to see my provider until I get pregnant again.
The Correct Answer is B
Choice A rationale
A fever following surgery is not normal and can indicate an infection; hence, this is not a correct statement.
Choice B rationale
Reporting heavy vaginal bleeding to the doctor is appropriate as it can indicate complications such as infection or retained tissue following a molar pregnancy surgery.
Choice C rationale
It is advised to avoid pregnancy for a period after molar pregnancy to ensure hCG levels return to normal and to monitor for gestational trophoblastic disease.
Choice D rationale
Follow-up visits with the provider are crucial after a molar pregnancy to monitor hCG levels and ensure no complications arise, so delaying visits until pregnancy is incorrect.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Recessive disorders do not manifest in every subsequent generation. They appear only when an individual inherits two copies of the recessive gene, one from each parent, making them less frequent in the population.
Choice B rationale
Single gene disorders are not collectively prevalent; they are relatively rare. They are caused by mutations in a single gene and are not always detectable without specific genetic testing.
Choice C rationale
Genetic disorders are not always passed down from one's biological predecessors. Some genetic disorders arise from new mutations that occur during the formation of eggs or sperm, or early in embryonic development.
Choice D rationale
Single gene disorders can indeed be traced through genetic lineage. By analyzing family histories and genetic testing, these disorders can often be identified and tracked across generations.
Correct Answer is A
Explanation
Choice A rationale
Duchenne-Erb (Erb's) palsy is a type of brachial plexus injury that commonly results in an absent Moro reflex on the affected side, an extended arm at the elbow, and decreased grasp. These symptoms arise from injury to the fifth and sixth cervical nerves, leading to motor deficits.
Choice B rationale
This describes facial nerve palsy, not Erb's palsy. Facial nerve palsy affects the muscles of the face, leading to asymmetry during crying and drooping of the mouth's corner on the affected side.
Choice C rationale
While asymmetry of the Moro reflex is accurate, this choice incorrectly states that the arm is externally rotated and the grasp reflex is absent, which aligns more with a total brachial plexus injury rather than Erb's palsy.
Choice D rationale
Crepitus, no movement, swelling, and tenderness on palpation are indicative of a fracture rather than Erb's palsy. These symptoms suggest bone injury rather than nerve damage.
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