The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Negative pregnancy test

Prothrombin time of 40 seconds

Hemoglobin level of 10.1 g/dl

Serum cholesterol of 140 mg/dl

Answer and Explanation

The Correct Answer is B

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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Correct Answer is D

Explanation

Choice A rationale
Bradypnea, or abnormally slow breathing, is not a typical symptom of fetal alcohol syndrome. It is more commonly associated with conditions such as sleep apnea, drug overdose, or certain neurological conditions.
Choice B rationale
Hydrocephaly, a condition where there is an accumulation of cerebrospinal fluid within the brain, is not a common symptom of fetal alcohol syndrome. It is typically caused by other conditions such as birth defects, infections, or brain injuries.
Choice C rationale
Nystagmus (involuntary eye movement) and hypoactivity (reduced activity level) are not typical symptoms of fetal alcohol syndrome. These symptoms can be associated with a variety of neurological or eye disorders.
Choice D rationale
Small palpebral fissures (small eye openings), missing vertical groove in the median portion of the upper lip, and a thin upper lip are all characteristic facial features of fetal alcohol syndrome. These features result from prenatal alcohol exposure, which can interfere with normal development.

A. This device will prevent me from contracting a sexually transmitted infection. B. I will need to check the string attached to the device every month. C. I will need to have the intrauterine device inserted a week after my menstrual period. D. I will need to have the intrauterine device fitted and replaced annually.

Correct Answer is B

Explanation

Choice A rationale
While the intrauterine device (IUD) is a highly effective form of birth control, it does not protect against sexually transmitted infections.
Choice B rationale
Checking the string of the IUD every month is a good practice to ensure that the device is still in place. This is an indication that the patient understands how to monitor the IUD correctly. Choice C rationale
The timing of IUD insertion can vary and does not necessarily need to be a week after the menstrual period. This statement does not accurately reflect understanding of the use of the IUD67.
Choice D rationale
Depending on the type of IUD, it may need to be replaced every 3-10 years, not annually. This statement does not accurately reflect understanding of the use of the IUD67.

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The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn is suspected of having fetal alcohol syndrome. Which finding would the nurse expect to assess?

Correct Answer is D

Explanation

Which of the following statements, if made by the patient, would indicate that the nurse’s teaching about the intrauterine device has been effective?

Correct Answer is B

Explanation

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