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).
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. This is not the correct action for this situation.
b. This is not the correct action for this situation.
c. This is not the correct action for this situation.
d. The patient is experiencing uterine tachysystole, which is defined as more than five contractions in 10 minutes, lasting longer than 90 seconds, or with less than 30 seconds of interval between contractions. This can cause fetal hypoxia and distress, as evidenced by late decelerations in the fetal heart rate tracing. The nurse should stop the oxytocin, increase the IV fluid rate, position the patient on her left side, administer oxygen, and notify the provider.
Correct Answer is A
Explanation
a. Sleeping on the left side (lateral) is recommended during pregnancy to improve circulation and prevent dizziness.
b. This is not a practical or safe solution to prevent dizziness.
c. This may not be effective in preventing dizziness, and it is not recommended to elevate the head during sleep in late pregnancy.
d. Elevating the legs may not be effective in preventing dizziness, and it is not recommended during sleep in late pregnancy.
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