Which of the following is a risk factor for cervical insufficiency?
Multiple gestation.
Advanced maternal age.
History of preterm labor.
Cervical surgery.
The Correct Answer is D
Choice A rationale
Multiple gestation increases pregnancy risks but is not directly linked to cervical insufficiency, which involves premature cervical dilation leading to preterm birth or loss without uterine contractions.
Choice B rationale
Advanced maternal age presents various pregnancy risks, including chromosomal abnormalities and hypertension, but is not a primary risk factor for cervical insufficiency, which involves cervical structural issues.
Choice C rationale
A history of preterm labor involves previous early deliveries but does not specifically indicate cervical insufficiency, which is characterized by painless cervical dilation and effacement in the second trimester.
Choice D rationale
Cervical surgery, such as conization or LEEP, can weaken the cervical structure, increasing the risk of cervical insufficiency by reducing the cervix’s ability to remain closed during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Biologically, women are more susceptible to sexually transmitted infections (STIs) due to anatomical differences, such as a larger mucosal surface area, making this statement incorrect.
Choice B rationale
Many STIs, such as chlamydia and gonorrhea, can be asymptomatic. This means a person can have an STI without showing signs or symptoms, making routine screening important.
Choice C rationale
Not all STIs are curable. While bacterial STIs like syphilis and gonorrhea can be treated with antibiotics, viral STIs like herpes and HIV can only be managed, not cured.
Choice D rationale
Condoms significantly reduce the risk of acquiring STIs but do not eliminate it entirely. They protect against fluid transmission but not necessarily from skin-to-skin contact infections like HPV.
Correct Answer is C
Explanation
Choice A rationale
Delusions indicate severe psychiatric conditions like postpartum psychosis, not depression. Depression involves low mood, energy, and interest, without detachment from reality. Delusions reflect loss of reality testing, requiring different interventions. Common in severe psychoses like schizophrenia.
Choice B rationale
Euphoria indicates abnormally elevated mood, seen in manic episodes of bipolar disorder, not depression. Depression involves sadness, hopelessness, and low energy. Euphoria's excessive positivity contrasts with depressive symptoms, including impaired functioning and behavior regulation.
Choice C rationale
Flat affect signifies reduced emotional expression, common in depression. Depressed individuals exhibit lack of response to pleasurable activities, social withdrawal, and emotional blunting. This impairment in emotional expressiveness reflects major depressive disorder.
Choice D rationale
Insomnia, common in depression, affects sleep patterns, causing difficulty initiating or maintaining sleep. It contributes to fatigue, cognitive impairment, and mood disturbances. Insomnia reflects dysregulated sleep-wake cycles in depression, impacting daily functioning.
Choice E rationale
Fatigue is frequent in depression, marked by persistent tiredness despite rest. It stems from sleep disturbances, low energy, and anhedonia. Fatigue affects concentration, motivation, and physical activity, manifesting as psychomotor retardation in depression.
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