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.)

"Your membranes may rupture earlier than normal."

"It will not have any effect on your pregnancy."

"Your newborn can be infected during birth."

"Your newborn may have eye infections from this infection."

"Your newborn is protected from this infection."

Answer and Explanation

Correct Answer : C,D

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.

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Correct Answer is ["A","D","E"]

Explanation

A. Rectocele:

A rectocele is a type of pelvic organ prolapse where the rectum bulges into the back wall of the vagina. Management and care of women with rectocele are relevant to the topic of pelvic organ prolapse.

B. Fecal incontinence:

Fecal incontinence refers to the inability to control bowel movements, which is not a typical symptom or complication of pelvic organ prolapse. While pelvic floor dysfunction can contribute to fecal incontinence, it is not the primary focus of care for women with pelvic organ prolapse.

C. Urinary incontinence:

Urinary incontinence, particularly stress urinary incontinence, can coexist with pelvic organ prolapse due to pelvic floor muscle weakness. However, urinary incontinence is a separate condition that may require different management approaches compared to pelvic organ prolapse. While relevant in the context of pelvic floor dysfunction, urinary incontinence is not specific to the care of women with pelvic organ prolapse.

D. Cystocele:

A cystocele is a type of pelvic organ prolapse where the bladder protrudes into the front wall of the vagina. Management and care of women with cystocele are also pertinent to the topic of pelvic organ prolapse.

E. Enterocele:

An enterocele is a type of pelvic organ prolapse where the small intestine bulges into the upper vaginal wall. Information about the care of women with enterocele would be expected in a journal article about pelvic organ prolapse.

A. social isolation related to feelings about appearance B. ineffective peripheral tissue perfusion related to effects of disease on vasculature C. risk for suicide related to effects of condition and fluctuating hormone levels D. situational low self-esteem related to masculinization effects of the disease

Correct Answer is D

Explanation

A. Social isolation related to feelings about appearance:

Social isolation refers to a state in which an individual lacks social interaction or feels disconnected from others. This can occur when individuals feel self-conscious or ashamed about their appearance and may withdraw from social situations as a result. In this scenario, the woman's feelings about her appearance may indeed lead to social isolation. However, while social isolation is a significant concern, it may not be the most immediate priority compared to addressing the woman's feelings of low self-esteem.

B. Ineffective peripheral tissue perfusion related to effects of disease on vasculature:

Ineffective peripheral tissue perfusion refers to inadequate blood flow to the peripheral tissues, which can lead to impaired tissue oxygenation and nutritional deficits. While PCOS can have metabolic and cardiovascular implications, such as insulin resistance and dyslipidemia, leading to potential vascular issues, there is no indication in the scenario provided that the woman is experiencing acute vascular compromise. Therefore, this nursing diagnosis is less relevant in this context.

C. Risk for suicide related to effects of condition and fluctuating hormone levels:

PCOS is associated with an increased risk of mental health issues, including depression and anxiety, which can contribute to an elevated risk of suicidal ideation or behavior. The woman's distress over the physical manifestations of PCOS and feelings of diminished femininity could certainly exacerbate such psychological issues. However, while suicide risk is a serious concern, there is no explicit indication in the scenario that the woman is actively expressing suicidal thoughts or behaviors. Therefore, while it's important to monitor for signs of depression and suicidal ideation, this nursing diagnosis may not be the most immediate priority at this stage.

D. Situational low self-esteem related to masculinization effects of the disease:

This nursing diagnosis addresses the woman's feelings of low self-esteem specifically related to the physical manifestations of PCOS, such as hirsutism, alopecia, breast atrophy, and increased muscle mass, which are affecting her sense of femininity and self-identity. Given her distress and negative perception of her appearance, addressing her low self-esteem and providing support and interventions to help improve her self-image would likely be the most immediate priority in her care.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reading a journal article about care of the woman with pelvic organ prolapse. The nurse would expect to find information related to which disorder? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

Correct Answer is D

Explanation

A nurse is conducting a program for pregnant women with gestational diabetes about reducing complications. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?

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A client who is HIV-positive is in her second trimester and remains asymptomatic. She voices concern about her newborn's risk for the infection. Which statement by the nurse would be most appropriate?

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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?

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?

When performing a clinical breast examination, which would the nurse do first?