The nurse should be aware that a pessary is most effective in the treatment of what disorder?
cystocele
uterine prolapse
rectocele
stress urinary incontinence
The Correct Answer is B
A. Cystocele: A cystocele involves the anterior vaginal wall and bladder prolapse. While a pessary may provide some support, it is not the primary treatment of choice specifically for cystocele; other interventions like pelvic floor exercises are usually preferred.
B. Uterine prolapse: A pessary is a medical device inserted into the vagina to provide structural support to the uterus that has descended into or beyond the vaginal canal. It is most effective for relieving symptoms of uterine prolapse, preventing further descent, and improving quality of life when surgery is not immediately indicated.
C. Rectocele: Rectocele involves prolapse of the posterior vaginal wall and rectum. Pessaries may provide limited support, but targeted pelvic floor therapy or surgical repair is typically more effective.
D. Stress urinary incontinence: Stress incontinence is caused by weakened pelvic floor muscles leading to urine leakage during activities that increase intra-abdominal pressure. While pessaries may help in some cases, they are not the primary or most effective treatment for this condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Attach the condom prior to erection: Condoms should be applied after achieving full erection to ensure proper fit and reduce the risk of breakage. Attaching the condom prematurely can lead to slippage or improper placement.
B. A condom may be reused with the same partner if ejaculation has not occurred: Condoms are single-use devices and should never be reused. Reusing increases the risk of breakage, contamination, and transmission of sexually transmitted infections.
C. Use skin lotion as a lubricant if alternatives are unavailable: Oil-based products, including skin lotion, degrade latex condoms and increase the likelihood of tearing. Only water-based or silicone-based lubricants are safe for use with latex condoms.
D. Hold the condom by the cuff upon withdrawal: Holding the base or cuff of the condom during withdrawal prevents slippage or spillage of semen, ensuring effectiveness in preventing pregnancy and reducing STI transmission.
Correct Answer is A
Explanation
A. “I will be sure to avoid getting pregnant for at least 1 year”: After evacuation of a molar pregnancy, pregnancy must be avoided for at least 6 to 12 months to allow monitoring of hCG levels and ensure remission. Rising hCG from a new pregnancy would interfere with detecting persistent trophoblastic disease.
B. “My intake of iron will have to be closely monitored for 6 months.”: Iron supplementation may be needed if anemia is present, but it is not the primary focus of post-molar pregnancy management. Ongoing care centers on serial hCG monitoring rather than nutritional intake.
C. “My blood pressure will continue to be increased for about 6 more months.”: Hypertension related to molar pregnancy typically resolves after evacuation. Persistent elevated blood pressure is not an expected long-term outcome.
D. “I won’t use my birth control pills for at least a year or two.”: Hormonal contraception is recommended after a molar pregnancy to prevent conception during hCG surveillance. Avoiding birth control pills increases the risk of pregnancy and complicates follow-up.
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