Scenario:
A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant.

Exhibits

The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

Chlamydia

Pre-eclampsia

Gonorrhea

Pyelonephritis

Answer and Explanation

Correct Answer : A,C,D

Choice B rationale: Pre-eclampsia is characterized by high blood pressure and protein in the urine after 20 weeks of pregnancy. The client's urine protein is negative, and she is only presumptively pregnant at this stage, making pre-eclampsia unlikely.

Choice C rationale: The detection of Gonorrhea in the client's urine sample indicates an active infection. Gonorrhea is a sexually transmitted infection that can cause symptoms such as vaginal discharge, burning with urination, and increased urinary frequency, which the client is experiencing.

Choice D rationale: Pyelonephritis, a severe urinary tract infection, is indicated by the presence of many bacteria and positive nitrites in the urine, along with symptoms like fever and flank pain. The client’s urine test results and symptoms suggest pyelonephritis.

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Correct Answer is D

Explanation

Choice A rationale

Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.

Choice B rationale

Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.

Choice C rationale

Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.

Choice D rationale

Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.

A. "If your HIV testing comes back positive, your baby will be infected." B. "You may notice dark urine and a metallic taste caused by ceftriaxone." C. "After you take the azithromycin, do not consume any calcium-rich foods." D. "Let's discuss some options for notifying your sexual partners."

Correct Answer is D

Explanation

Choice B rationale: Ceftriaxone does not commonly cause dark urine or a metallic taste. These side effects are typically associated with other antibiotics, like metronidazole. The nurse should provide accurate information about medication side effects to maintain client trust.

Choice C rationale: Azithromycin absorption is not significantly affected by calcium intake. Unlike tetracyclines, which bind with calcium and reduce efficacy, azithromycin’s pharmacokinetics remain stable, ensuring the medication effectively treats the infection.

Choice D rationale: Discussing options for notifying sexual partners is essential for preventing the spread of sexually transmitted infections. It ensures that partners can seek testing and treatment, reducing the risk of re-infection and promoting overall community health.

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Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

Correct Answer is D

Explanation

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?

Correct Answer is D

Explanation

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?

A nurse is providing teaching to a client who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client:

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

Scenario:
A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant.

Exhibits

The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.