A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
“I will need an amniocentesis within 1 month."
"I will need to attend a support group when I get home."
"I will need to start chemotherapy immediately.
“I will need home palliative services after I am discharged from the hospital"
The Correct Answer is B
A) Incorrect- An amniocentesis is not typically needed after a molar pregnancy since there is no viable fetus.
B) Correct - A molar pregnancy is a rare condition where abnormal tissue forms in the uterus instead of a normal embryo. It often requires medical follow-up and emotional support. Attending a support group is important for emotional and psychological healing after the experience of a molar pregnancy.
C) Incorrect- Chemotherapy might be necessary in certain cases of molar pregnancy, but immediate chemotherapy is not a general requirement.
D) Incorrect- Home palliative services are not typically needed for molar pregnancy recovery.
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Related Questions
Correct Answer is B
Explanation
A) Incorrect- Kegel exercises are helpful for strengthening pelvic floor muscles but may not directly alleviate afterpains.
B) Correct - Afterpains are uterine contractions that occur after childbirth and can be uncomfortable, especially during breastfeeding. Ibuprofen is often used to relieve this discomfort.
C) Incorrect- Applying a cool compress might provide some relief, but pain relief medications like ibuprofen are more effective for afterpains.
D) Incorrect- While a side-lying position can be comfortable for breastfeeding, it may not directly address the afterpains.
Correct Answer is C
Explanation
Rationale:
A) Incorrect - A blood pressure of 120/70 mm Hg is within the normal range and is not a contraindication for the transdermal contraceptive patch.
B) Incorrect - Peptic ulcer disease is not a contraindication for the transdermal contraceptive patch.
C) Correct - A weight of 98 kg (216 lb) is considered a contraindication for the transdermal contraceptive patch due to potential reduced efficacy in women with a body mass index (BMI) over 30. This method might be less effective for individuals with higher body weights.
D) Incorrect - A history of spontaneous abortion is not a contraindication for the transdermal contraceptive patch.
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