Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
striae gravidarum
linea nigra
vascular spiders
melasma
The Correct Answer is B
Choice A: Striae gravidarum are stretch marks that appear on the abdomen, breasts, or thighs during pregnancy. They are caused by the tearing of the connective tissue in the dermis due to rapid growth or weight gain.
Choice B: Linea nigra is a dark vertical line that runs from the umbilicus to the pubic area. It is caused by increased melanin production due to hormonal changes during pregnancy. This is the correct choice because it matches the description in the question.
Choice C: Vascular spiders are dilated blood vessels that appear on the skin as red or purple spider-like lesions. They are caused by increased estrogen levels and blood volume during pregnancy. They are usually found on the face, neck, chest, or arms.
Choice D: Melasma is a condition that causes brown or gray patches on the face, especially on the forehead, cheeks, nose, or upper lip. It is caused by increased melanin production due to sun exposure and hormonal changes during pregnancy. It is also known as chloasma or the mask of pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A Reason: This is correct because cloudy malodorous fluid indicates that the amniotic fluid is contaminated with bacteria or other microorganisms that can cause infection in the woman or the fetus. Normally, amniotic fluid is clear and odorless.
Choice B Reason: This is correct because abdominal tenderness suggests that the woman has inflammation or irritation of the uterus or other pelvic organs due to infection. Abdominal tenderness can also be accompanied by cramping, pain, or fever.
Choice C Reason: This is correct because fetal bradycardia, which is a slow fetal heart rate below 110 beats per minute, indicates that the fetus is experiencing distress or hypoxia due to infection. Fetal bradycardia can be detected by electronic fetal monitoring or Doppler device.
Choice D Reason: This is correct because elevated maternal pulse rate, which is a heart rate above 100 beats per minute, indicates that the woman has an increased metabolic demand or systemic inflammation due to infection. Elevated maternal pulse rate can also be caused by dehydration, anxiety, or pain.
Choice E Reason: This is incorrect because decreased C-reactive protein levels do not indicate infection. C-reactive protein (CRP) is a protein that is produced by the liver in response to inflammation or infection. Increased CRP levels can be a sign of infection, but decreased CRP levels can be normal or indicate other conditions such as liver disease or malnutrition.
Correct Answer is ["415"]
Explanation
To calculate the amount of NG drainage, the nurse should subtract the amount of irrigation fluid from the amount of fluid in the NG canister. The irrigation fluid is not part of the drainage, but rather a way to keep the NG tube patent and prevent clogging.
The amount of irrigation fluid is 30 mL x 2 = 60 mL.
The amount of fluid in the NG canister is 475 mL.
Therefore, the amount of NG drainage is 475 mL - 60 mL = 415 mL.
The answer should be rounded to the nearest whole number and use a leading zero if it applies. Do not use a trailing zero.
Therefore, the final answer is 415 mL.
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