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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Rash on face: While some rashes may accompany infections, a localized facial rash in a neonate is nonspecific and can result from benign conditions such as erythema toxicum neonatorum, making it less indicative of systemic sepsis.
B. Edematous neck: Neck edema is uncommon in neonates and may suggest local trauma, lymphatic obstruction, or congenital anomalies rather than sepsis. It does not provide reliable evidence of systemic infection.
C. Hypothermia: Neonates with sepsis often present with hypothermia rather than fever due to immature thermoregulatory and immune systems. Persistent low body temperature, along with other signs such as lethargy or poor feeding, is a strong indicator of potential sepsis and warrants prompt evaluation and intervention.
D. Coughing: Coughing may indicate a respiratory condition, but isolated coughing is not a sensitive or specific marker for neonatal sepsis. Respiratory distress in combination with systemic signs would be more concerning.
Correct Answer is C
Explanation
A. Flex her knee while resting: Flexing the knee repeatedly can increase venous stasis and may worsen symptoms if a deep vein thrombosis (DVT) is present. It is not recommended in suspected thromboembolic events.
B. Massage the area: Massaging a calf with pain and redness in the postpartum period can dislodge a thrombus and cause a potentially life-threatening pulmonary embolism. This intervention is contraindicated.
C. Elevate her leg: Elevating the affected leg promotes venous return, reduces swelling, and can help alleviate discomfort. It is a safe supportive measure while awaiting evaluation by a healthcare provider.
D. Apply cold compress: Cold compresses are generally used for acute inflammation or trauma. In suspected DVT, cold application does not address the underlying venous obstruction and is not a priority intervention.
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