NCLEX : Obstetrics and Gynecological Conditions
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Example Question #91 : Obstetrics And Gynecological Conditions
The nurse is assessing a "high-risk" woman in labor. She notices that the baby's fetal heart rate is decreasing to 50 beats per minute for 80 second periods and recurring. The nurse should immediately __________.
turn the mother on her right side
place the mother in Trendelenburg
have the mother raise her legs
turn the mother on her left side
place the mother in the tripod position
turn the mother on her left side
Placing the mother on her left side can increase placental blood flow and increase the baby's oxygenation. Placing the mother on her right side, in Trendelenburg (head down), in the tripod position (sitting forward, hands on knees), or with her feet in the air is not of equal benefit.
Example Question #1062 : Nclex
Which of the following assessments is not a focal point of the postpartum assessment?
Vital signs, including blood pressure and pulse
Lochia, including color and volume
Fundus, including height, location, and consistency.
Stool assessment, including consistency and color
Bonding, including maternal/fetal and family dynamics
Stool assessment, including consistency and color
The postpartum assessment includes vital signs (blood pressure, pulse), fundus (location, height, consistency), lochia (color, volume), urinary output (measure first void), and bonding between the mother and infant. The postpartum assessment is valuable because it allows for nursing interventions at warning signs of postpartum complications, including infection, hemorrhage, and uterine atony. Stool assessment is not a vital part of the postpartum assessment because it does not lend information to the assessment of potential danger signs.
Example Question #1063 : Nclex
Which of the following ethnic groups should consider genetic counseling for thalassemia?
Northern Europeans
Mediterranean ancestry
Native Americans
African American
Jewish
Mediterranean ancestry
Thalassemia, an inherited autosomal recessive blood disorder, is characterized by an abnormal form of hemoglobin. Those of Mediterranean ancestry may be carriers of the disease and genetic counseling is recommended. African Americans are at risk for carrying the gene for sickle-cell disease, another inherited blood disorder that alters the form of hemoglobin. Nothern European descendants of Jewish ancestry are at risk for carrying Tay-Sachs disease, a rare, inherited nervous system disorder. Native Americans are not commonly at risk for passing on genetically inherited disorders.
Example Question #1064 : Nclex
How can endometriosis affect fertility and miscarriage rates?
Increases fertility and decreases risk of miscarriage
Increases fertility and increases risk of miscarriage
Decreases fertility and decreases risk of miscarriage
Decreases fertility and increases risk of miscarriage
Decreases fertility and increases risk of miscarriage
Endometriosis will increases risk of both infertility and of miscarriage. This may be due to a paracrine effect as hormones are released locally by ectopic endometrial tissue, causing disruptions in hormone levels required for implantation and for sustaining an implanted embryo before the formation of the placenta.
Example Question #1065 : Nclex
Endometriosis is more common in the presence of what food allergy-related condition?
Celiac disease (gluten allergy)
Endometriosis is unrelated to any type of food allergy
Lactose intolerance
Anaphylaxis
Celiac disease (gluten allergy)
In a study surveying 120 women with endometriosis, the prevalence of celiac disease, an autoimmune condition triggered by ingestion of gluten, was nearly four times higher than the general population. No association has been made between the presence of endometriosis and lactose intolerance or incidence of anaphylaxis.
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