The nurse is examining a female patient in an OB clinic who complains of severe pain during menstruation and intercourse.
The nurse suspects endometriosis.
Which of the following is true?
Infertility will most likely not be an issue for this patient.
If the patient gets pregnant, she is more likely to have multiples.
The patient should take acetaminophen for pain relief.
Oral contraceptives may be helpful for this patient.
The Correct Answer is D
Choice A rationale:
Infertility is a common issue for women with endometriosis. The endometrial tissue that grows outside the uterus can cause scarring and inflammation, which can block fallopian tubes and prevent eggs from being released or fertilized. Studies have shown that 30-50% of women with endometriosis experience infertility.
It is important to address this potential issue with the patient and discuss options for fertility preservation if desired.
Choice B rationale:
There is no evidence to suggest that women with endometriosis are more likely to have multiples. The likelihood of having multiples is primarily influenced by factors such as genetics, maternal age, and the use of fertility treatments.
Choice C rationale:
Acetaminophen may not be effective for pain relief in women with endometriosis. The pain associated with endometriosis is often severe and can be unresponsive to over-the-counter pain relievers. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen are often more effective in managing endometriosis-related pain.
In some cases, stronger pain medications such as opioids may be necessary.
Choice D rationale:
Oral contraceptives can be helpful for women with endometriosis by:
Suppressing ovulation, which can reduce the amount of endometrial tissue that grows and bleeds each month.
Thinning the uterine lining, which can also reduce pain and bleeding.
Slowing the growth of endometrial tissue.
Oral contraceptives are not a cure for endometriosis, but they can help to manage symptoms and improve quality of life.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Joining a support group can be beneficial. I can provide some recommendations.
Support groups offer a safe and supportive environment where couples can share their experiences, feelings, and coping strategies with others who understand what they are going through. This can be incredibly helpful in reducing isolation, normalizing their emotions, and promoting a sense of hope. Support groups can also provide valuable information and resources about infertility, treatment options, and coping strategies. Additionally, they can help couples develop a sense of community and belonging, which can be especially important during a challenging time.
I can provide some recommendations for support groups in your area. This demonstrates the nurse's willingness to help the couple find the resources they need and underscores the value of support groups in managing infertility.
Choice B rationale:
Share your situation with friends and family so they can provide support.
While sharing with friends and family can be helpful for some couples, it's important to recognize that not everyone may be able to provide the kind of support that is needed. Some friends and family members may not understand the challenges of infertility or may offer unsolicited advice, which can be hurtful. Additionally, couples may not feel comfortable sharing such personal information with their loved ones. It's important to respect the couple's privacy and preferences in this regard.
Choice C rationale:
Start adoption proceedings immediately as it can be challenging to adopt an infant.
This response is not appropriate as it does not address the couple's immediate concern, which is how to maintain their emotional balance while dealing with infertility. It also assumes that the couple is interested in adoption, which may not be the case. While adoption can be a wonderful option for some families, it's a major decision that requires careful consideration and should not be rushed into.
Choice D rationale:
Speak only with other friends who are dealing with infertility as they can provide the most help.
While connecting with others who are experiencing infertility can be helpful, it's important not to isolate oneself from other sources of support. Friends and family who are not dealing with infertility can still offer valuable support, understanding, and companionship. It's important to have a variety of supportive relationships in one's life.
Correct Answer is A
Explanation
Choice A rationale:
Amniocentesis is the most reliable and direct method to assess fetal lung maturity. It involves the extraction of a small sample of amniotic fluid from the amniotic sac, which surrounds the fetus in the uterus. This fluid contains various substances, including surfactant, which is a crucial substance produced by the fetal lungs that enables them to expand and function properly after birth.
By analyzing the levels of surfactant and other components in the amniotic fluid, clinicians can accurately determine the maturity of the fetal lungs. This information is essential in guiding decisions about potential delivery options, especially in cases of preterm labor or other complications that may necessitate early delivery.
Amniocentesis is generally considered a safe procedure, but it does carry some small risks, such as infection, bleeding, or amniotic fluid leakage. However, these risks are typically outweighed by the benefits of obtaining accurate information about fetal lung maturity when necessary.
Choice B rationale:
Fetal fibronectin (fFN) is a protein that is found in the amniotic fluid and cervicovaginal secretions. Elevated levels of fFN in cervicovaginal secretions between 22 and 34 weeks of gestation can indicate an increased risk of preterm labor.
However, fFN testing is not a direct measure of fetal lung maturity. It is used primarily as a screening tool to assess the risk of preterm birth, not to determine the readiness of the fetal lungs for delivery.
Choice C rationale:
Chorionic villus sampling (CVS) is a prenatal diagnostic test that involves taking a small sample of chorionic villi, which are tiny finger-like projections of placental tissue. This test is typically performed earlier in pregnancy (between 10 and 13 weeks gestation) to diagnose genetic abnormalities in the fetus.
CVS is not used to assess fetal lung maturity. It does not provide any information about the development of the fetal lungs or their readiness for birth.
Choice D rationale:
Alpha-fetoprotein (AFP) is a protein produced by the fetal liver. Elevated levels of AFP in the maternal blood can indicate an increased risk of certain birth defects, such as neural tube defects.
AFP testing is not used to assess fetal lung maturity. It does not provide any information about the development of the fetal lungs or their readiness for birth.
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