At a prenatal visit, a primigravida client confides to the nurse that her partner is abusive. Which information should the nurse provide?

Safety plan to keep in a purse at all times.

Paperwork needed to file a restraining order.

Visit summary documenting the report of abuse.

Contact information for a women's shelter.

Answer and Explanation

The Correct Answer is D

A. Safety plan to keep in a purse at all times: While a safety plan is important, the nurse should focus on providing immediate resources and support to help the client feel safe and ensure access to a safe environment. A safety plan can be discussed later as part of ongoing support.

B. Paperwork needed to file a restraining order: Filing for a restraining order is a legal process, and while it may be important, it should not be the nurse's immediate priority. The client needs more immediate emotional and practical support.

C. Visit summary documenting the report of abuse: While documentation of the abuse is necessary for medical and legal purposes, the nurse's immediate priority should be to provide support and resources to help the client find safety.

D. Contact information for a women's shelter: Providing the client with contact information for a women's shelter is a crucial step in offering immediate support and resources. Shelters can provide a safe place to go and access to counseling or other resources for dealing with abuse.

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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.

A. This gene is passed down only to male children. B. This gene is passed down only to female children. C. There is a 100% chance of passing this gene on to all children. D. There is a 50% chance of passing this gene on to all children.

Correct Answer is D

Explanation

A. This gene is passed down only to male children: An X-linked dominant inheritance disorder can be passed to both male and female children. are at risk for inheriting an X-linked dominant gene, but they are not the only offspring who can inherit the gene.

B. This gene is passed down only to female children: X-linked dominant inheritance disorders can be passed to both male and female children. Sons inherit the X chromosome from their mother, and daughters inherit one X chromosome from each parent.

C. There is a 100% chance of passing this gene on to all children: A 100% chance of passing the gene does not occur in X-linked inheritance disorders. In heterozygous conditions, the mother has a 50% chance of passing the gene to each child, whether male or female.

D. There is a 50% chance of passing this gene on to all children: In X-linked dominant inheritance, a heterozygous mother has a 50% chance of passing the gene to each child, regardless of the child’s sex.

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Body System	Nurses Notes and Flow Sheet
Respiratory	Respirations 16 breaths/minute Oxygen saturation of 89% Several deep breaths
Integumentary	Episiotomy intact with no redness Pad is saturated with blood 18 gauge IV to left forearm
Circulatory	Heart rate 96 beats/minute Blood pressure 90/62 mm Hg IV infusing at 125 mL/hr
Genital/Urinary	Boggy fundus 1 cm above umbilicus Fundus rotated to the right Voided 200 mL of clear yellow urine

At a prenatal visit, a primigravida client confides to the nurse that her partner is abusive. Which information should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

The nurse is reviewing the genetic test report for a pregnant client with a history of several spontaneous abortions. The results show the client has a heterozygous x-linked dominant inheritance disorder. How should the nurse explain the results to the client?

Correct Answer is D

Explanation

Exhibits The nurse reviews the client's history and physical, the nurses' notes, and the flow sheet. Select the findings that will help the nurse determine which is causing the client's symptoms.

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

Exhibits Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing dropdownanddropdown.

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?

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

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