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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Candidiasis:
Candidiasis is caused by an overgrowth of the fungus Candida albicans in the vagina. It typically presents with symptoms such as thick, white vaginal discharge (resembling cottage cheese), itching, and discomfort during sexual intercourse (dyspareunia). This option is the most likely diagnosis based on the client's symptoms.
B. Genital herpes simplex:
Genital herpes simplex is caused by the herpes simplex virus (HSV). It presents with symptoms such as painful, fluid-filled blisters or sores in the genital area. While genital herpes can cause vaginal discharge, the discharge is typically clear or cloudy, not thick and white as described in the scenario.
C. Trichomoniasis:
Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. It commonly presents with symptoms such as a frothy, yellow-green vaginal discharge, itching, and discomfort during urination or sexual intercourse. The discharge is typically not described as thick and white.
D. Bacterial vaginosis:
Bacterial vaginosis results from an imbalance of bacteria in the vagina, with a decrease in beneficial bacteria and an overgrowth of harmful bacteria. It presents with symptoms such as a thin, grayish-white vaginal discharge with a fishy odor. While bacterial vaginosis can cause vaginal discomfort, the discharge is not typically described as thick and white.
Correct Answer is A
Explanation
A. Alcohol:
Metronidazole interacts with alcohol, leading to a disulfiram-like reaction. This reaction can cause unpleasant symptoms such as flushing, headache, nausea, vomiting, and rapid heart rate. It's crucial for clients taking metronidazole to avoid consuming alcohol to prevent these adverse reactions.
B. Caffeine:
There are no known significant interactions between metronidazole and caffeine. Therefore, clients taking metronidazole do not typically need to avoid caffeine-containing products.
C. Chocolate:
There are no known significant interactions between metronidazole and chocolate. Therefore, clients taking metronidazole do not typically need to avoid chocolate consumption.
D. Nicotine:
There are no known significant interactions between metronidazole and nicotine. Therefore, clients taking metronidazole do not typically need to avoid nicotine consumption, such as smoking or using nicotine replacement products.
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