A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain.
Nursing care is based on the knowledge that these signs are an indication of:
Anxiety due to hospitalization.
Effects of magnesium sulfate.
Worsening disease and impending convulsion.
Gastrointestinal upset.
Gastrointestinal upset.
The Correct Answer is C
Choice A reason: Anxiety due to hospitalization is not a likely cause of the signs reported by the patient. Anxiety can cause some symptoms, such as headache, palpitations, or sweating, but it does not cause visual changes or epigastric pain. Anxiety is also not a common complication of pregnancy-induced hypertension, which is a condition characterized by high blood pressure and protein in the urine.
Choice B reason: Effects of magnesium sulfate are not a likely cause of the signs reported by the patient. Magnesium sulfate is a medication used to prevent seizures and lower blood pressure in patients with pregnancy-induced hypertension. It can cause some side effects, such as flushing, nausea, or drowsiness, but it does not cause headache, visual changes, or epigastric pain. In fact, magnesium sulfate can help relieve these symptoms by reducing the cerebral edema and vasospasm caused by pregnancy-induced hypertension.
Choice C reason: Worsening disease and impending convulsion are the most likely cause of the signs reported by the patient. These signs indicate that the patient is developing severe preeclampsia or eclampsia, which are life-threatening complications of pregnancy-induced hypertension. Preeclampsia is characterized by high blood pressure, protein in the urine, and signs of organ damage, such as headache, visual changes, epigastric pain, or decreased urine output. Eclampsia is the occurrence of seizures in a patient with preeclampsia. These conditions can lead to stroke, bleeding, placental abruption, or fetal distress, and require immediate medical attention.
Choice D reason: Gastrointestinal upset is not a likely cause of the signs reported by the patient. Gastrointestinal upset can cause some symptoms, such as nausea, vomiting, or abdominal pain, but it does not cause headache, visual changes, or epigastric pain. Gastrointestinal upset is also not a common complication of pregnancy-induced hypertension, which is a condition that affects the blood vessels and organs, not the digestive system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Syphilis is a bacterial STI caused by Treponema pallidum. It is characterized by three stages: primary, secondary, and tertiary. It can cause serious complications such as neurosyphilis, cardiovascular syphilis, and congenital syphilis. However, it is not the most common bacterial STI.
Choice B reason: Candidiasis is a fungal infection caused by Candida albicans. It is not a STI, but rather an opportunistic infection that can affect the vagina, mouth, skin, or other mucous membranes. It can cause symptoms such as itching, burning, discharge, and inflammation.
Choice C reason: Gonorrhea is a bacterial STI caused by Neisseria gonorrhoeae. It can infect the urethra, cervix, rectum, throat, or eyes. It can cause symptoms such as dysuria, discharge, pelvic pain, and bleeding. It can also lead to complications such as pelvic inflammatory disease, epididymitis, infertility, and disseminated gonococcal infection. However, it is not the most common bacterial STI.
Choice D reason: Chlamydia is a bacterial STI caused by Chlamydia trachomatis. It is the most common bacterial STI, affecting about 2.86 million people in the United States in 2018. It can infect the urethra, cervix, rectum, throat, or eyes. It can cause symptoms such as dysuria, discharge, pelvic pain, and bleeding. It can also lead to complications such as pelvic inflammatory disease, epididymitis, infertility, and ectopic pregnancy.
Correct Answer is A
Explanation
Choice A reason: Progesterone is the hormone that stimulates the development of the alveoli and lobules of the mammary glands during pregnancy. It prepares the breasts for lactation by increasing the number and size of the milk-producing cells.
Choice B reason: Testosterone is the main male sex hormone that is responsible for the development of male reproductive organs and secondary sex characteristics. It has no direct role in the maturation of mammary gland tissue.
Choice C reason: Prolactin is the hormone that initiates and maintains milk production after childbirth. It is secreted by the anterior pituitary gland in response to suckling or nipple stimulation. It does not affect the maturation of mammary gland tissue.
Choice D reason: Estrogen is the hormone that stimulates the growth of the duct system of the mammary glands during puberty and pregnancy. It also promotes the development of female reproductive organs and secondary sex characteristics. It does not affect the maturation of mammary gland tissue.
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