The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.
The nurse should recognize that the major cause for these symptoms is related to which of the following?

Decreased follicle-stimulating hormone.

Increased levels of prostaglandin.

Decreased estrogen.

Increased luteinizing hormone.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Decreased follicle-stimulating hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice B rationale

Increased levels of prostaglandin are not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

Choice C rationale

Decreased estrogen is the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible.

Choice D rationale

Increased luteinizing hormone is not the major cause of the onset of menopause and the resulting atrophy of the vulvar organs. The major cause is decreased estrogen.

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Correct Answer is B

Explanation

Choice A rationale

Quickening is the sensation of fetal movement by the pregnant woman. It usually occurs between 16 and 20 weeks of gestation.

Choice B rationale

Hegar’s sign is a probable sign of pregnancy that is characterized by the compressibility and softening of the cervical isthmus, which is the portion of the cervix between the uterus and the vaginal portion of the cervix. This sign typically presents between the fourth and sixth week of pregnancy. Therefore, if the nurse identifies a probable sign indicating the softening of the lower uterine segment, it is likely that the nurse has observed Hegar’s sign.

Choice C rationale

Braxton Hicks contractions are intermittent uterine contractions that occur during pregnancy. They are not a sign of labor and do not lead to cervical dilation or effacement. Therefore, they would not indicate the softening of the lower uterine segment.

Choice D rationale

Ballottement is a technique of palpating a floating structure by bouncing it and feeling it rebound. In the context of pregnancy, it refers to the movement of the fetus when the uterus is tapped during a pelvic examination. This does not indicate the softening of the lower uterine segment.

A. The client who has an indwelling urinary catheter to gravity drainage B. The client who has a chest tube to water seal C. The client who has a nasogastric (NG) tube to suction D. The client who has a tracheostomy tube attached to humidified oxygen

Correct Answer is C

Explanation

Choice A rationale

The client who has an indwelling urinary catheter to gravity drainage is not at risk for hypokalemia. The kidneys regulate the balance of potassium by removing excess potassium into the urine. The use of a urinary catheter would not affect this process.

Choice B rationale

The client who has a chest tube to water seal is not at risk for hypokalemia. Chest tubes are used to treat conditions that can cause the lung to collapse, such as pneumothorax, hemothorax, or pleural effusion. They do not affect the body’s potassium levels.

Choice C rationale

The client who has a nasogastric (NG) tube to suction is at risk for hypokalemia. Hypokalemia, or low potassium levels, can occur with loss of gastric fluids because these fluids contain potassium. With an NG tube to suction, these fluids are being removed from the body, which can lead to a decrease in potassium levels.

Choice D rationale

The client who has a tracheostomy tube attached to humidified oxygen is not at risk for hypokalemia. A tracheostomy tube allows air to enter the lungs. It does not affect the body’s potassium levels.

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The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.The nurse should recognize that the major cause for these symptoms is related to which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While assessing a pregnant primigravida client, the nurse identifies a probable sign indicating the softening of the lower uterine segment.Which of the following signs is the nurse likely to have observed?

Correct Answer is B

Explanation

A nurse is caring for four clients who have various types of drainage tubes.Which of the following clients should the nurse identify as being at risk for hypokalemia?

Correct Answer is C

Explanation

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A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is the most common risk factor for abruption?

The nurse is educating a female client about the onset of menopause and the resulting atrophy of the vulvar organs.
The nurse should recognize that the major cause for these symptoms is related to which of the following?