After teaching a woman who has had an evacuation for gestational trophoblastic disease (hydatidiform mole or molar pregnancy) about her condition, which statement indicates that the nurse's teaching was successful?
"I won't use my birth control pills for at least a year or two."
"I will be sure to avoid getting pregnant for at least 1 year."
"My blood pressure will continue to be increased for about 6 more months."
"My intake of iron will have to be closely monitored for 6 months."
The Correct Answer is B
A. "I won't use my birth control pills for at least a year or two." - This statement does not accurately reflect the teaching provided. After treatment for gestational trophoblastic disease, it is important for the woman to avoid pregnancy for a specified period of time to allow for monitoring and to reduce the risk of complications. However, the use of birth control pills is typically recommended to prevent pregnancy during this period.
B. "I will be sure to avoid getting pregnant for at least 1 year." - This statement demonstrates understanding of the teaching. After treatment for gestational trophoblastic disease, healthcare providers typically recommend avoiding pregnancy for at least one year. This allows for monitoring of hCG levels to ensure they return to normal and to reduce the risk of recurrence.
C. "My blood pressure will continue to be increased for about 6 more months." - This statement is not related to the teaching about gestational trophoblastic disease. Blood pressure may be affected during pregnancy, but it is not a specific concern related to treatment for gestational trophoblastic disease.
D. "My intake of iron will have to be closely monitored for 6 months." - This statement is not directly related to the teaching about gestational trophoblastic disease. While monitoring of iron levels may be important for overall health, it is not a specific recommendation related to treatment for this condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Asian Americans as having the highest teen birth rate:
This statement is incorrect. Asian Americans generally have lower teen birth rates compared to other racial/ethnic groups in the United States. Incorporating inaccurate information into the presentation may lead to misunderstanding or misrepresentation of the issue.
B. Loss of self-esteem as a major impact:
While loss of self-esteem can be a consequence of adolescent pregnancy, it may not be considered a major impact in all cases. Adolescent pregnancy can have diverse and complex impacts on individuals, including social, economic, and psychological effects. While addressing the psychosocial aspects of adolescent pregnancy is important, loss of self-esteem may not be the primary focus of the presentation.
C. Rise in teen birth rates over the years:
Providing information about the trend of teen birth rates over time helps to contextualize the issue and highlight its significance. This aspect can include discussing historical trends, recent changes, and factors contributing to fluctuations in teen birth rates.
D. About half occurring within a year of first sexual intercourse:
This statistic underscores the importance of sexual health education and contraception access for adolescents. Understanding the timing of pregnancies in relation to sexual debut can inform interventions aimed at preventing unintended pregnancies among teenagers.
E. Peer pressure to become sexually active:
Peer pressure is a significant influence on adolescent behavior, including decisions related to sexual activity. Addressing peer pressure in the context of adolescent pregnancy allows for discussion about the social and emotional factors that contribute to teen pregnancies and the importance of developing healthy coping strategies and assertiveness skills.
Correct Answer is D
Explanation
A. Developing most often in women in their 30s:
Stress incontinence can affect women of various ages, not specifically those in their 30s. While childbirth and hormonal changes associated with aging can increase the risk of stress incontinence, it is not limited to any particular age group.
B. Feeling a strong need to void:
This characteristic is more indicative of urgency incontinence, also known as overactive bladder (OAB), where there is a sudden, strong urge to urinate that is difficult to control. It is different from stress incontinence, which is triggered by physical movements or activities that increase pressure on the bladder.
C. Passing a large amount of urine:
This choice does not specifically describe a characteristic of stress incontinence. Stress incontinence involves the leakage of small amounts of urine during activities such as coughing, sneezing, laughing, or exercising, rather than the passage of a large amount of urine at once.
D. Sneezing as an initiating stimulus:
This is the correct characteristic of stress incontinence. Stress incontinence is characterized by the leakage of urine during physical activities or movements that increase intra-abdominal pressure, such as coughing, sneezing, laughing, lifting, or exercising. Sneezing is a common initiating stimulus for stress incontinence episodes.

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