What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?

Sporadic vaginal bleeding accompanied by chronic pelvic pain

Heavy leukorrhea with vulvar pruritus

Menstrual irregularities and hirsutism on the chin

Stress incontinence with a feeling of low abdominal pressure .

Answer and Explanation

The Correct Answer is D

Choice A rationale
Sporadic vaginal bleeding accompanied by chronic pelvic pain is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice B rationale
Heavy leukorrhea with vulvar pruritus is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice C rationale
Menstrual irregularities and hirsutism on the chin are not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice D rationale
Stress incontinence with a feeling of low abdominal pressure is a common symptom in women who have had multiple pregnancies and are admitted for repair of cystocele and rectocele. Multiple pregnancies can weaken the pelvic floor muscles, leading to conditions like cystocele and rectocele. Stress incontinence, where urine leaks out with increased abdominal pressure (such as when coughing, sneezing, or lifting), is a common symptom of these conditions.

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Correct Answer is C

Explanation

Choice A rationale
Drinking one to two alcoholic drinks a few times a week does not typically signal that a woman should not take oral contraceptives.
Choice B rationale
Being slightly overweight and having a difficult time fitting exercise into a schedule does not typically signal that a woman should not take oral contraceptives16.
Choice C rationale
Trying to limit cigarettes to one pack a week does signal that a woman should not take oral contraceptives16. Smoking can increase the risk of serious side effects from oral contraceptives, including blood clots, stroke, or heart attack.
Choice D rationale
Trying to have a boyfriend wear a condom every time they have sex does not typically signal that a woman should not take oral contraceptives16.

A. Negative pregnancy test B. Prothrombin time of 40 seconds C. Hemoglobin level of 10.1 g/dl D. Serum cholesterol of 140 mg/dl

Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is not the priority in this case. While it’s important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), it’s not the most critical finding.

Choice B rationale
A prothrombin time of 40 seconds is significantly prolonged, indicating a potential coagulation disorder. This could explain the abnormal uterine bleeding and should be prioritized due to the risk of significant blood loss.
Choice C rationale
A hemoglobin level of 10.1 g/dl is slightly low but within acceptable limits for many individuals. While it could indicate some degree of anemia possibly due to chronic blood loss, it’s not as immediately concerning as a coagulation disorder.
Choice D rationale
A serum cholesterol level of 140 mg/dl is within the normal range and is not directly related to AUB1.

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What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement made by the patient would signal to the nurse that she should not take oral contraceptives?

Correct Answer is C

Explanation

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

The postpartum woman is experiencing heavy lochia and has required frequent fundal massage over the past 24- hour period. Which of the following factors may have contributed to the uterine atony?

A client with polycystic ovarian syndrome (PCOS) is receiving oral contraceptives as part of her treatment plan. When discussing this treatment with the client, the nurse would discuss which rationale for this therapy?

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

After conducting an in-service program about ovarian cysts, what type of cyst would the nurse expect the group to identify as being commonly found in females of reproductive age and regresses with the menstrual cycle?

The nurse is developing the discharge plan for a woman who has had a left-sided radical mastectomy. The nurse is including instructions for ways to minimize lymphedema. Which statement by the client indicates the need for additional instruction?

What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?