A nurse is reviewing a client's history and physical examination findings. Which information would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

recurrent pelvic infections

heavy, irregular menses

use of oral contraceptives for 5 years

ovarian cyst 2 years ago

Answer and Explanation

The Correct Answer is A

A. Recurrent pelvic infections:

Pelvic infections, particularly those affecting the fallopian tubes (such as pelvic inflammatory disease), can lead to scarring and damage to the fallopian tubes. Scar tissue can obstruct the normal passage of the fertilized egg, increasing the risk of ectopic pregnancy.

B. Heavy, irregular menses:

While irregular menstrual cycles can sometimes be associated with conditions like polycystic ovary syndrome (PCOS), heavy and irregular menses are not typically considered direct risk factors for ectopic pregnancy. However, underlying conditions contributing to irregular menstrual cycles, such as hormonal imbalances or conditions affecting the reproductive organs, could potentially increase the risk.

C. Use of oral contraceptives for 5 years:

Oral contraceptives (birth control pills) are known to significantly reduce the risk of ectopic pregnancy. They work by preventing ovulation and altering the uterine lining, making it less likely for a fertilized egg to implant outside the uterus. Therefore, long-term use of oral contraceptives would generally decrease the risk of ectopic pregnancy rather than increase it.

D. Ovarian cyst 2 years ago:

While ovarian cysts are common and usually benign, they typically do not directly contribute to the risk of ectopic pregnancy. However, certain types of ovarian cysts, such as those associated with conditions like polycystic ovary syndrome (PCOS) or endometriosis, may indirectly affect fertility and increase the risk of complications during pregnancy, including ectopic pregnancy.

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Free Nursing Study Resources

Correct Answer is ["C","D"]

Explanation

A. "Your membranes may rupture earlier than normal." - This statement is not directly associated with chlamydia infection during pregnancy. Premature rupture of membranes (PROM) can occur due to various factors, but chlamydia infection is not a direct cause.

B. "It will not have any effect on your pregnancy." - This statement is incorrect. Chlamydia infection during pregnancy can have implications for both the mother and the baby, so it is not accurate to say it will not have any effect.

C. "Your newborn can be infected during birth." - This is an accurate statement. Chlamydia can be transmitted from the mother to the newborn during vaginal childbirth, leading to neonatal chlamydial infection.

D. "Your newborn may have eye infections from this infection." - This is also correct. Neonatal chlamydial infection can cause conjunctivitis (eye infection) in newborns if they are exposed to the bacteria during delivery.

E. "Your newborn is protected from this infection." - This statement is incorrect. Newborns are not inherently protected from chlamydial infection if the mother is infected. Without appropriate treatment and preventive measures, the newborn can contract the infection during birth.

A. adjunct therapy to radiation and chemotherapy B. treatment of opportunistic infections C. reduction in viral loads in the blood D. can cure acute HIV/AIDS infections

Correct Answer is C

Explanation

A. adjunct therapy to radiation and chemotherapy:

This option is not applicable to HIV/AIDS treatment. Antiretroviral therapy (ART) is specifically used to treat HIV infection by targeting the replication of the virus. It is not used as adjunct therapy to radiation or chemotherapy, which are treatments typically used for cancer.

B. treatment of opportunistic infections:

While antiretroviral therapy (ART) can help prevent opportunistic infections by boosting the immune system, its primary purpose is not the treatment of these infections. Rather, ART focuses on suppressing the replication of the HIV virus itself.

C. reduction in viral loads in the blood:

This is the correct rationale for antiretroviral therapy. The main goal of ART is to reduce the viral load in the blood to undetectable levels. By doing so, ART helps to slow the progression of HIV infection, improve immune function, and reduce the risk of transmitting the virus to others.

D. can cure acute HIV/AIDS infections:

This statement is incorrect. While antiretroviral therapy (ART) is highly effective in controlling HIV infection and preventing progression to AIDS, it does not cure acute HIV/AIDS infections. HIV remains a chronic condition that requires lifelong management with ART.

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A nurse is reviewing a client's history and physical examination findings. Which information would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

Correct Answer is ["C","D"]

Explanation

Correct Answer is C

Explanation

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