A woman is in her seventh month of pregnancy.
She has been reporting nasal congestion and occasional epistaxis.
The nurse suspects that.

this is a normal respiratory change in pregnancy caused by elevated levels of estrogen.

this is an abnormal cardiovascular change, and the nosebleeds are an ominous sign.

the woman is a victim of domestic violence and is being hit in the face by her partner.

the woman has been using cocaine intranasally.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Nasal congestion and occasional epistaxis (nosebleeds) are common symptoms during pregnancy due to elevated levels of estrogen. Increased estrogen causes mucosal blood vessels to become engorged and more fragile, leading to nasal congestion and occasional nosebleeds. This is a normal respiratory change in pregnancy and not necessarily a cause for concern.

Choice B rationale:

While cardiovascular changes are common in pregnancy, nosebleeds alone are not indicative of abnormal cardiovascular changes unless they are accompanied by other symptoms. The given scenario does not provide enough information to support this choice.

Choice C rationale:

There is no evidence provided to suggest domestic violence (Choice C) as the cause of the woman's symptoms. Additionally, this choice lacks a physiological basis for the symptoms described.

Choice D rationale:

Intranasal cocaine use (Choice D) can indeed cause nasal congestion and frequent nosebleeds. However, the scenario does not provide any information to support this choice, and assuming drug use without evidence is not appropriate.

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Correct Answer is B

Explanation

Choice A rationale:

Drink a glass of water with a fat-free carbohydrate before getting out of bed in the morning. While staying hydrated is important, consuming a fat-free carbohydrate before getting out of bed may not be sufficient to alleviate nausea and vomiting. Eating small, frequent meals throughout the day, as suggested in choice B, can help stabilize blood sugar levels and prevent the stomach from becoming too empty, which can contribute to nausea.

Choice B rationale:

Eat small, frequent meals (every 2 to 3 hours). Eating small, frequent meals can help manage nausea and vomiting during pregnancy. Having something in the stomach at all times can prevent the stomach from becoming completely empty, reducing the likelihood of nausea. Additionally, choosing easily digestible foods can further alleviate symptoms.

Choice C rationale:

Increase her intake of high-fat foods to keep the stomach full and coated. Increasing intake of high-fat foods is not advisable, as they can be harder to digest and may exacerbate nausea. The focus should be on consuming small, low-fat, easily digestible meals throughout the day.

Choice D rationale:

Limit fluid intake throughout the day. Limiting fluid intake is not recommended, especially during pregnancy. It's important for pregnant women to stay hydrated. Dehydration can worsen nausea and may lead to other complications. Encouraging adequate fluid intake between meals can also help manage nausea.

A. Signs of stress. B. Developmental delay. C. A physical problem causing emotional stress. D. Lack of adjustment to the school environment.

Correct Answer is C

Explanation

Choice A rationale:

Signs of stress can indeed manifest in various ways, including stomach pains and changes in behavior. However, in this scenario, the child's symptoms of stomach pains, aggression, and stubbornness might indicate a physical problem causing emotional stress. It's essential to consider other possibilities before attributing the symptoms solely to stress.

Choice B rationale:

Developmental delay could be a potential cause of behavioral issues in a child, but it doesn't explain the stomach pains. Moreover, a developmental delay would typically have been identified earlier in the child's life through regular screenings and assessments.

Choice C rationale:

A physical problem causing emotional stress, such as an undiagnosed medical condition, can lead to both stomach pains and behavioral changes. Considering this possibility is crucial in this situation. It's essential to conduct a thorough physical examination and medical evaluation to rule out any underlying health issues.

Choice D rationale:

Lack of adjustment to the school environment could contribute to behavioral problems in a child. However, it's essential to first investigate the physical symptoms, like stomach pains, before solely attributing the behavior to school adjustment issues. Physical health should be thoroughly assessed to rule out any medical causes for the symptoms.

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A woman is in her seventh month of pregnancy.She has been reporting nasal congestion and occasional epistaxis.The nurse suspects that.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman experiencing nausea and vomiting should:.

Correct Answer is B

Explanation

A 9-year-old often comes to the school nurse complaining of stomach pains.The teacher says that the child has lately been somewhat aggressive and stubborn in the classroom.What should the school nurse recognize as the possible trigger for these behaviors?

Correct Answer is C

Explanation

A laboring woman is lying in the supine position.The most appropriate nursing action at this time is to:.

Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are:.

After an emergency birth, the nurse encourages the woman to breastfeed her newborn.The primary purpose of this activity is to:.

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse's instructions if she states that a positive sign of pregnancy is:.

Magnesium sulfate is given to women with preeclampsia and eclampsia to.

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections?

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Magnesium Sulfate is being administered intravenously to a client for pregnancy-induced hypertension.Which assessment finding should the nurse identify as a complication of this treatment?

A woman is in her seventh month of pregnancy.
She has been reporting nasal congestion and occasional epistaxis.
The nurse suspects that.