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.

Nursing Test Bank

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Correct Answer is ["B","D","F"]

Explanation

Choice A rationale: Supplementing with formula is not always necessary for weight loss in newborns, as initial weight loss is typical. Regular breastfeeding usually suffices to regain birth weight, barring any medical issues. Overusing formula can impact breastfeeding success.

Choice B rationale: Newborns should be fed 8 to 12 times per day to ensure adequate nutrition and promote milk production. Frequent feeding also helps prevent engorgement and establishes a good breastfeeding routine, essential for both mother and baby.

Choice C rationale: Plastic-lined breast pads can trap moisture, which might exacerbate sore nipples. Using breathable, cotton pads is better for promoting healing and preventing infections. Proper latch techniques and frequent position changes are also vital for nipple comfort.

Choice D rationale: Meconium stools transition to yellow, seedy stools within a few days as the baby's digestion adjusts to milk intake. This stool color change is a sign that the baby is feeding well and effectively digesting breast milk.

Choice E rationale: While staying hydrated is essential for overall health, water intake alone does not directly increase milk supply. Milk production is primarily influenced by frequent and effective breastfeeding or pumping. Adequate nutrition and rest are also important.

Choice F rationale: When milk "comes in," typically between days 2 to 5 postpartum, breasts may become firmer, warmer, and more tender due to increased blood flow and milk production. This is a normal physiological response indicating a healthy lactation process.

A. You should not eat or drink for 8 hours before the test. B. It is a screening test so it does not actually diagnose anomalies. C. Since you have no chronic illnesses, your test results should be fine. D. You will be on bed rest for 4 hours after the test.

Correct Answer is B

Explanation

Choice A rationale

Fasting for 8 hours before the AFP test is not required. This misinformation might cause unnecessary patient anxiety. Understanding test protocols helps in providing accurate and reassuring patient education, reducing pre-test stress.

Choice B rationale

AFP test is a screening tool to identify potential anomalies such as neural tube defects or chromosomal abnormalities. It does not provide a definitive diagnosis but indicates if further diagnostic testing is warranted for confirming anomalies.

Choice C rationale

Absence of chronic illnesses does not guarantee normal AFP test results. This statement is misleading, as AFP levels can be affected by a variety of factors, including gestational age and fetal conditions, requiring comprehensive analysis.

Choice D rationale

Bed rest is not necessary after an AFP test. This misinformation may cause unnecessary concern or inconvenience for the patient. Proper understanding of post-test care helps in providing correct patient instructions and alleviating fears.

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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

Correct Answer is ["B","D","F"]

Explanation

A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

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?

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 a health clinic is caring for a client who arrived for their initial visit after a positive home pregnancy test. The nurse should identify that which of the following actions should occur during the initial visit?

The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

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?

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

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.