The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include?

postterm labor

chorioamnionitis

gestational hypertension

placenta previa

Answer and Explanation

The Correct Answer is C

A. Postterm labor:

Postterm labor refers to labor that occurs after 42 weeks of gestation. While stress and trauma can contribute to preterm labor, there isn't a direct association between violence during pregnancy and postterm labor.

B. Chorioamnionitis:

Chorioamnionitis is an infection of the fetal membranes (chorion and amnion) and amniotic fluid. While violence during pregnancy doesn't directly cause chorioamnionitis, infections can occur if there are injuries sustained during violent episodes or if there's poor prenatal care due to the effects of violence.

C. Gestational hypertension:

Gestational hypertension, also known as pregnancy-induced hypertension, is characterized by high blood pressure that develops during pregnancy. Chronic stress and anxiety resulting from violence during pregnancy can contribute to elevated blood pressure levels, potentially leading to gestational hypertension.

D. Placenta previa:

Placenta previa occurs when the placenta partially or completely covers the cervix, increasing the risk of bleeding during pregnancy and delivery. While violence during pregnancy doesn't directly cause placenta previa, it can indirectly impact placental health and function due to stress-induced physiological changes.

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Correct Answer is C

Explanation

A. 30 years:

The American Cancer Society does not recommend routine mammograms for women at average risk and with no family history of breast cancer starting at age 30. Mammograms at this age are generally not considered necessary unless there are specific risk factors or symptoms present that warrant earlier screening.

B. 35 years:

Similarly, the American Cancer Society does not recommend routine mammograms for women at average risk and with no family history of breast cancer starting at age 35. While early detection is important, routine screening mammography typically begins at a later age for women at average risk.

C. 45 years:

This is the correct choice according to the American Cancer Society's recommendations. For women at average risk and with no family history of breast cancer, the American Cancer Society suggests starting annual mammograms at age 45. This age was determined based on evidence indicating that screening mammography in this age group can effectively detect breast cancer and reduce mortality rates associated with the disease.

D. 40 years:

While some organizations, such as the American College of Radiology and the American College of Obstetricians and Gynecologists, recommend starting routine mammograms at age 40, the American Cancer Society suggests starting at age 45 for women at average risk and with no family history of breast cancer. The choice to begin screening at age 45 aligns with evidence-based recommendations and balances the benefits of early detection with the potential harms of false positives and overdiagnosis in younger women.

A. "I should avoid drinking orange juice." B. "I should take my iron with milk." C. "I need to eat foods high in fiber." D. "I'll call the primary care provider if my stool is black and tarry."

Correct Answer is D

Explanation

A. "I should avoid drinking orange juice."

- This statement is incorrect. Vitamin C, found in orange juice and other citrus fruits, can actually enhance the absorption of iron from iron supplements. Therefore, it is recommended to take iron supplements with vitamin C-rich foods or beverages to improve iron absorption. Advising the pregnant woman to avoid orange juice would be counterproductive to optimizing iron absorption.

B. "I should take my iron with milk."

- This statement is incorrect. Calcium, found in milk and dairy products, can inhibit the absorption of iron from iron supplements. Therefore, it is generally advised to avoid taking iron supplements with milk or other calcium-rich foods or beverages. Instead, iron supplements should be taken with water or vitamin C-rich foods or beverages to enhance iron absorption.

C. "I need to eat foods high in fiber."

- While it's important to maintain a balanced diet with adequate fiber intake for overall health, this statement does not directly relate to the appropriate use of iron supplements. While dietary fiber can affect digestion and bowel movements, it does not significantly impact the absorption of iron from iron supplements. Therefore, while it's beneficial to consume a diet high in fiber for various health reasons, it is not specifically necessary in relation to iron supplementation.

D. "I'll call the primary care provider if my stool is black and tarry."

- This statement is correct and indicates successful teaching. Black, tarry stools can indicate the presence of gastrointestinal bleeding, which can occur as a side effect of iron supplementation. By instructing the pregnant woman to contact her primary care provider if she experiences black, tarry stools, she demonstrates understanding of a potential adverse effect of iron supplementation and knows to seek appropriate medical attention if necessary.

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The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman comes to the clinic and asks the nurse about when she should have her first mammogram. The woman is at low risk and has no family history of breast cancer. Using the recommendations of the American Cancer Society, the nurse would suggest the woman have her first mammogram at which age?

Correct Answer is C

Explanation

A pregnant woman is diagnosed with iron-deficiency anemia and is prescribed an iron supplement. After teaching her about her prescribed iron supplement, which statement indicates successful teaching?

Correct Answer is D

Explanation

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