When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that amenorrhea is most often the result of

eating disorders.

stress.

pregnancy.

excessive exercise.

Answer and Explanation

The Correct Answer is C

A. Eating disorders can cause amenorrhea due to low body fat and hormonal imbalance, but they are less common causes compared to pregnancy. The hypothalamic-pituitary-ovarian axis is suppressed in severe nutritional deficiency.

B. Stress can lead to temporary amenorrhea through hypothalamic suppression and disruption of gonadotropin-releasing hormone, but it is not the most frequent cause in reproductive-age women.

C. Pregnancy is the most common and primary cause of secondary amenorrhea because elevated human chorionic gonadotropin (hCG) levels suppress ovulation and menstruation. A pregnancy test is always the first diagnostic step.

D. Excessive exercise can result in amenorrhea due to decreased energy availability and altered gonadotropin levels, but it accounts for fewer cases compared to pregnancy in the general population.

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Correct Answer is A

Explanation

A. Fourth-degree lacerations extend through the rectal mucosa, making infection and wound dehiscence major concerns. Stool softeners prevent straining, while perineal hygiene and peri-bottle use reduce bacterial contamination. Monitoring for urinary retention ensures early detection of pelvic floor dysfunction or trauma-related swelling.

B. While ambulation aids circulation, restricting fluids can cause dehydration and constipation. Avoiding Kegel exercises delays pelvic floor strengthening, which supports healing. Cold compresses are beneficial initially but should not replace hygiene and bowel care.

C. Limiting pain control can impair mobility and self-care. Dietary fiber restriction worsens constipation and straining, which increase pain and risk of wound disruption. Sitz baths are beneficial but not sufficient alone for complete care.

D. Strong laxatives can cause diarrhea and trauma to sutures, while inadequate cleansing heightens infection risk. Early follow-up is crucial for wound assessment, making delayed appointments unsafe.

A. "Occasional drinking in the third trimester is acceptable as long as you don't binge drink. B. "No amount of alcohol during pregnancy is considered safe, and it can cause lifelong fetal harm." C. "Small amounts of alcohol during the first trimester are safe and won't harm your baby." D. "Alcohol is only harmful if consumed in large quantities during the last trimester."

Correct Answer is B

Explanation

A. "Occasional drinking in the third trimester is acceptable as long as you don't binge drink.": Even occasional alcohol consumption during any trimester can lead to adverse effects, as the fetal brain and organs continue to develop throughout pregnancy.

B. "No amount of alcohol during pregnancy is considered safe, and it can cause lifelong fetal harm.": Alcohol is a known teratogen that can lead to fetal alcohol spectrum disorders (FASDs). These include physical, cognitive, and behavioral abnormalities that are permanent and entirely preventable through abstinence.

C. "Small amounts of alcohol during the first trimester are safe and won't harm your baby.": The first trimester is a critical period for organogenesis, and alcohol exposure at this stage increases the risk of miscarriage and congenital malformations.

D. "Alcohol is only harmful if consumed in large quantities during the last trimester.": Alcohol exposure at any stage of pregnancy can disrupt fetal growth and neurodevelopment. The risk is not limited to large quantities or to the last trimester.

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When evaluating a patient whose primary complaint is amenorrhea, the nurse must be aware that amenorrhea is most often the result of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A postpartum client sustained a fourth-degree perineal laceration during vaginal delivery. The nurse is developing a care plan focused on promoting healing and preventing complications. Which combination of interventions best addresses the unique challenges of this type of injury?

Correct Answer is A

Explanation

A pregnant client asks the nurse about the safety of consuming alcohol during pregnancy. Which of the following is the nurse's best response?

Correct Answer is B

Explanation

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

The nurse is educating a group of pregnant clients about substances and exposures that can harm fetal development. Which of the following are considered teratogens? (Select All that Apply.)

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A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth).

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Read Chart Tab with patient history and select all that apply. Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).

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