Which assessment findings might raise the nurse's suspicion of endometriosis in the client they are evaluating?

Unexplained weight gain

Pain during menstrual period

Pain during intercourse

Infertility

Answer and Explanation

Correct Answer : B,C,D

A. Unexplained weight gain
This is incorrect because weight gain is not a characteristic symptom of endometriosis. Endometriosis primarily affects the reproductive organs and is associated with pain and infertility rather than metabolic or weight-related changes.

B. Pain during menstrual period
This is correct because dysmenorrhea (painful menstruation) is a hallmark symptom of endometriosis due to the presence of ectopic endometrial tissue responding to hormonal changes.

C. Pain during intercourse
This is correct because dyspareunia (pain during intercourse) is a common symptom of endometriosis due to the inflammatory and fibrotic changes caused by ectopic endometrial tissue.

D. Infertility
This is correct because endometriosis can lead to infertility due to scarring, adhesions, and inflammation affecting the fallopian tubes and ovaries. Many clients with endometriosis seek medical attention due to difficulty conceiving.

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Correct Answer is B

Explanation

A. "The recommendation for you is about 15 to 25 pounds."
This recommendation is appropriate for clients who are overweight (BMI 25–29.9), not those with a normal BMI.

B. "A gain of about 25 to 35 pounds is recommended for you."
A BMI of 23.5 falls within the normal range (18.5–24.9). The recommended total weight gain for clients with a normal BMI is 25–35 lbs (11.3–15.9 kg) during pregnancy to support fetal growth and maternal health.

C. "A gain of about 1 pound per week is the best pattern for you."
While the recommended weight gain in the second and third trimesters is about 1 lb/week, total weight gain is individualized based on pre-pregnancy BMI.

D. "It would be best if you gained about 11 to 20 pounds."
This is the recommendation for obese clients (BMI ≥30), not those with a normal BMI.

A. Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively B. Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood C. Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn D. Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby

Correct Answer is D

Explanation

A. Feeling anxious about the baby's health and well-being, but still able to care for the baby effectively
Mild anxiety about the baby’s health is a common experience for new mothers and does not necessarily indicate PPD. It becomes concerning if anxiety becomes overwhelming or interferes with daily functioning.

B. Experiencing occasional mood swings and irritability while adjusting to the new role of motherhood
Mood swings and irritability are normal postpartum adjustments, often due to hormonal changes, sleep deprivation, and new responsibilities. These symptoms typically resolve within a few weeks.

C. Feeling overwhelmed and having difficulty sleeping due to the demands of a newborn
Feeling overwhelmed and sleep disturbances are common in the postpartum period due to frequent infant care needs. However, severe or persistent sleep disturbances, especially with loss of interest in daily activities, may indicate PPD.

D. Persistent feelings of sadness, severe fatigue, and loss of interest in activities, including caring for the baby
Postpartum depression is characterized by prolonged sadness, extreme fatigue, withdrawal, and difficulty bonding with the baby. These symptoms extend beyond normal postpartum blues (which typically resolve within two weeks) and require medical intervention, including therapy and possibly medication.

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Which assessment findings might raise the nurse's suspicion of endometriosis in the client they are evaluating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client at the first prenatal visit who has a BMI of 23.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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