During her gynecologic checkup, a 30-year-old client states that recently she has been experiencing abdominal cramping and pain 3-4 days before and during her menstrual periods. The patient also complains of nausea, vomiting, headache, and irritability. The nurse would document these complaints as:

Select one:

Dysmenorrhea.

Dyspareunia.

Amenorrhea.

Premenstrual syndrome (PMS).

Answer and Explanation

The Correct Answer is D

a.   Dysmenorrhea refers to painful menstruation, which may be accompanied by abdominal cramping and pain.
b.   Dyspareunia refers to painful sexual intercourse, which is not described in the scenario.
c.   Amenorrhea refers to the absence of menstrual periods, which is not described in the scenario.
d.   The symptoms described in the scenario are consistent with premenstrual syndrome, which includes physical and emotional symptoms such as abdominal cramping and pain, nausea, vomiting, headache, and irritability that occur before and during menstruation.

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Correct Answer is C

Explanation

a. This is not where fetal heart tones are typically auscultated.
b. This is not where fetal heart tones are typically auscultated.
c. The round, firm, moveable part in the fundus of the uterus is most likely the fetal head, and the long, smooth surface on the right side is most likely the fetal back. The fetal heart tones are best heard over the fetal back, which is closest to the maternal abdomen. Therefore, the nurse should expect to auscultate fetal heart tones in the right upper quadrant.
d. This is not where fetal heart tones are typically auscultated.

A. Constipation for 2 days. B. Absent of fetal movement in one full day C. Edema at the end of the day, resolving during the night. D. Anxiety during the night

Correct Answer is B

Explanation

a. This is not typically considered a danger sign of pregnancy.

b. This is a potential danger sign of pregnancy and should be reported to the healthcare provider.
c. This is not typically considered a danger sign of pregnancy.

d. This is not typically considered a danger sign of pregnancy.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A woman who is 34 weeks pregnant is informed by the nurse that a danger sign of pregnancy and fetal well being could be Select one:

Correct Answer is B

Explanation

A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid?

A nurse in a prenatal clinic is teaching a client who has a new prescription for Dinoprostone gel. Which of the following statements should the nurse include in the teaching? Select one:

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

A nurse is caring for a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

The nurse caring for the laboring woman should understand that early decelerations are caused by: