Which statement regarding abnormal uterine bleeding (AUB) is most accurate?
AUB is mostly irregular uterine bleeding
AUB is irregular ovarian bleeding
AUB mostly occurs every month
Steroids are the most effective medical treatment for AUB.
The Correct Answer is A
A. Abnormal uterine bleeding (AUB) refers to bleeding from the uterus that is irregular in volume, duration, or timing and is not related to normal menstruation. This definition makes “mostly irregular uterine bleeding” the most accurate description.
B. AUB originates from the uterus, not the ovaries. While ovarian dysfunction can contribute to AUB, the bleeding itself is classified based on uterine patterns, not ovarian activity.
C. AUB is irregular and does not follow the typical monthly menstrual cycle. It may occur unpredictably or with excessive or prolonged bleeding.
D. Steroids are not the primary treatment for AUB. Medical management usually includes hormonal therapies such as combined oral contraceptives, progestins, or tranexamic acid depending on the underlying cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chorionic villus sampling (CVS) is typically performed between 10 and 13 weeks of gestation. It involves obtaining a small sample of placental tissue (chorionic villi) to test for chromosomal abnormalities, genetic disorders, and certain metabolic conditions. Performing the procedure within this timeframe allows for early detection of fetal abnormalities, which gives the parents more options for pregnancy management.
B. By 18 weeks of gestation, CVS is no longer indicated, as amniocentesis becomes the preferred procedure for prenatal genetic testing at mid-pregnancy. Performing CVS this late would increase the risk of complications without providing additional benefit.
C. At 6 weeks, the placenta is not sufficiently developed to obtain an adequate sample of chorionic villi. Attempting CVS this early carries a higher risk of procedure failure and complications, including miscarriage.
D. At 4 weeks, the embryo is too small and placental development is insufficient for CVS. Genetic testing is not feasible at this stage, and attempting it would be unsafe.
Correct Answer is C
Explanation
A. Eliciting the Moro reflex to wake the baby is unsafe and unnecessary. This method involves startling the infant, which can cause distress and may result in injury to the nipple, infant’s gums, or palate. It does not address the correct technique for breaking suction safely.
B. Pulling the breast or nipple directly from the baby’s mouth can lead to significant nipple trauma, including cracking, bleeding, and pain, and may also injure the infant’s mouth. This method is considered unsafe and is strongly discouraged in breastfeeding education.
C. Breaking the suction by gently inserting a clean finger into the corner of the infant’s mouth is the recommended technique. This action releases the latch safely, prevents nipple trauma, and allows the infant to unlatch without discomfort. It ensures that both the mother and baby remain safe during breastfeeding, and it supports proper feeding practices.
D. Relying on a popping sound as an indicator of safe breast removal is unreliable and can be misleading. Attempting to remove the breast based on sound alone may result in abrupt or forceful removal, causing pain or injury to the mother’s nipple and the infant’s oral tissues.
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