A premenopausal client with uterine leiomyomas (fibroids) reports to the clinic nurse that her menstrual bleeding has increased in volume and duration. Which assessment should the nurse perform first?

Palpate the abdomen for uterine enlargement.

Observe the appearance of the bleeding on the client's pad.

Measure the client's vital signs.

Obtain a history of the exact length of each cycle.

Answer and Explanation

The Correct Answer is C

A. Palpate the abdomen for uterine enlargement: While abdominal palpation may reveal uterine enlargement, it is not the first priority. The nurse needs to assess the client’s current clinical status to determine if there is any immediate risk of complications like hemorrhage.
B. Observe the appearance of the bleeding on the client's pad: Observing the appearance of the bleeding is important for understanding the severity of the condition, but the nurse should first assess the client's vital signs to identify any signs of hemodynamic instability or shock.
C. Measure the client's vital signs: The most immediate assessment is to check the client’s vital signs, especially if the increased bleeding has caused any changes in her hemodynamic status. This step will help determine if the client is experiencing a serious complication such as hypovolemic shock.
D. Obtain a history of the exact length of each cycle: While obtaining a detailed history is helpful, it is not the first action. Vital signs should be checked first to ensure that the client is stable before gathering additional information.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Soft and not palpable: Immediately after delivery, the fundus should be firm and palpable. A soft, non-palpable fundus may indicate uterine atony, which is a serious condition that could lead to hemorrhage and requires immediate intervention.

B. Above the umbilicus: Immediately after delivery, the fundus is typically at or just below the umbilicus. If it is above the umbilicus, it could indicate uterine distension, a retained placenta, or excessive bleeding that needs to be addressed.

C. At or below the umbilicus: The fundus is expected to be firm and palpable at or just below the umbilicus immediately after delivery. This position reflects normal uterine contraction as the uterus begins to return to its pre-pregnancy size.

D. To the left or right of the umbilicus: The fundus should be midline after delivery. A deviation to the left or right may suggest a full bladder or uterine displacement, which can interfere with uterine contraction and increase the risk of bleeding.

A. A 40-year-old African-American woman who started her menstrual period at age 14. B. A 35-year-old woman who had both her children before age 20. C. A 50-year-old Caucasian woman who has never had a mammogram. D. A 32-year-old woman whose mother had breast cancer.

Correct Answer is D

Explanation

A. A 40-year-old African-American woman who started her menstrual period at age 14: Starting menstruation at a young age is a risk factor for breast cancer, but other factors, such as family history, tend to have a greater impact on overall risk.

B. A 35-year-old woman who had both her children before age 20: Having children early in life can actually reduce the risk of breast cancer, as it reduces the number of menstrual cycles a woman experiences, thus lowering exposure to estrogen.

C. A 50-year-old Caucasian woman who has never had a mammogram: Not having a mammogram is a concern for detecting breast cancer early, but this alone is not a higher risk of developing breast cancer. Screening is important, but it is not a primary risk factor.

D. A 32-year-old woman whose mother had breast cancer: A family history of breast cancer, especially in a first-degree relative like a mother, significantly increases the risk of developing breast cancer. This genetic risk factor makes this woman the highest-risk individual.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A premenopausal client with uterine leiomyomas (fibroids) reports to the clinic nurse that her menstrual bleeding has increased in volume and duration. Which assessment should the nurse perform first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment finding should the nurse expect when palpating the fundus immediately after delivery?

Correct Answer is C

Explanation

The nurse is preparing to teach a class on breast self-examination. In describing the "at-risk" individual, the nurse should describe which woman as having the highest risk of developing breast cancer?

Correct Answer is D

Explanation

A client tells the nurse that she thinks she is pregnant. Which sign or symptom provides the best indication that the client is pregnant?

The healthcare provider prescribed triazolam 500 mcg for a client with insomnia. The pharmacy supplies triazolam in 0.25 mg tablets. How many tablets should the nurse administer? (Enter numeric value only.)

A 17-year-old client gave birth 12 hours ago. She informs that she doesn't know how to care for her baby. To promote parent- infant attachment behaviors, which intervention should the nurse implement?

When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage. Which is this client's gravidity?

Which is the most important assessment for the nurse to conduct following the administration of epidural anesthesia to a client who is at 40-weeks gestation?

A premenopausal client with uterine leiomyomas (fibroids) reports to the clinic nurse that her menstrual bleeding has increased in volume and duration. Which assessment should the nurse perform first?

Exhibits The nurse reviews the client data. Drag the Word Choices to complete the sentence. Abnormal FHR patterns can result in dropdown, dropdownanddropdown.

The nurse is assessing a gravid client. Which finding is of greatest concern in planning care for this client?