Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)

Urinary frequency.

rupture of membranes.

heartburn accompanied by severe headache.

decreased libido.

Vaginal bleeding.

Answer and Explanation

Correct Answer : B,C,E

Choice A reason: Urinary frequency is a common symptom of pregnancy, especially in the first and third trimesters, due to the increased pressure of the uterus on the bladder. It is not a sign of complication and does not need to be reported immediately.

Choice B reason: Rupture of membranes is the breaking of the amniotic sac, which can occur spontaneously or artificially before or during labor. It is a sign of impending delivery and can increase the risk of infection. It should be reported immediately to the health care provider.

Choice C reason: Heartburn accompanied by severe headache can indicate preeclampsia, a serious condition characterized by high blood pressure and proteinuria in pregnancy. It can lead to eclampsia, which is a life-threatening seizure disorder. It should be reported immediately to the health care provider.

Choice D reason: Decreased libido is a normal change in pregnancy, due to hormonal fluctuations, physical discomfort, and emotional stress. It is not a sign of complication and does not need to be reported immediately.

Choice E reason: Vaginal bleeding can indicate various complications in pregnancy, such as placenta previa, placental abruption, or miscarriage. It can pose a threat to the mother and the fetus. It should be reported immediately to the health care provider.

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Correct Answer is A

Explanation

Choice A reason:

Nagele's rule for calculating the estimated date of confinement (EDC) involves subtracting 3 months from the first day of the last menstrual period and adding 7 days. For February 13th, subtracting 3 months gives us November 13th, and adding 7 days gives us November 20th. This is the most accurate calculation for the estimated date of confinement.

Choice B reason:

This choice is not accurate according to Nagele's rule. Adding 7 days to November 13th would give November 20th, not November 27th.

Choice reason:

This choice is not accurate according to Nagele's rule. Adding 7 days to November 13th would give November 20th, not November 21st.

Choice D reason:

This choice is not accurate according to Nagele's rule. Subtracting 3 months from February 13th would give November 13th, not November 14th.

A. she will be unable to conceive in the future. B. a D&C will be performed to remove the products of conception. C. bed rest and analgesics are the recommended treatment. D. hemorrhage is the major concern.

Correct Answer is D

Explanation

Choice A reason: She will not be unable to conceive in the future, as ectopic pregnancy does not necessarily affect her fertility. However, she may have a higher risk of having another ectopic pregnancy or infertility if the fallopian tube is damaged or removed.

Choice B reason: A D&C (dilation and curettage) will not be performed to remove the products of conception, as this procedure is used to empty the uterus, not the fallopian tube. The treatment for ectopic pregnancy may include medication, surgery, or expectant management, depending on the location, size, and viability of the pregnancy.

Choice C reason: Bed rest and analgesics are not the recommended treatment for ectopic pregnancy, as they do not address the underlying cause or prevent complications. Ectopic pregnancy is a medical emergency that requires prompt intervention to prevent rupture, bleeding, and shock.

Choice D reason: Hemorrhage is the major concern for ectopic pregnancy, as the pregnancy can rupture the fallopian tube and cause severe bleeding into the abdominal cavity. This can lead to hypovolemic shock, which is a life-threatening condition.

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Signs and symptoms that a pregnant woman should report immediately to her health care provider include: (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on February 13th. Which date is most accurate?

Correct Answer is A

Explanation

A 32-year-old primigravida is admitted with a diagnosis of ectopic pregnancy. Nursing care is based on the knowledge that:

Correct Answer is D

Explanation

Which pregnant woman should restrict her weight gain during pregnancy?

What is the cause of early decelerations in the fetal heart rate (FHR) of a laboring woman?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

What is the main reason why a woman who is older than 35 years may have difficulty achieving pregnancy?

Why is glucose metabolism profoundly affected during pregnancy?

What is the most dangerous effect on the fetus of a mother who smokes cigarettes while pregnant?

A nurse counseling a client with endometriosis understands which statements regarding the management of endometriosis are accurate? (Select all that apply)

A patient at 24 weeks of gestation says she has a glass of wine with dinner every evening. The nurse will counsel her to eliminate all alcohol intake because: