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Example Questions
Example Question #1001 : Nclex
Which of the following is a possible cause of vaginal bleeding in early pregnancy?
Cervical ectropion
Trophoblastic disease
Spontaneous abortion/miscarriage
All of these are correct
All of these are correct
All of these could be possible reasons for bleeding in early pregnancy, including physiologic or implantation bleeding. Bleeding may indicate threatened miscarriage or other serious condition, or it may simply be due to the implantation of the embryo into the endometrium.
Example Question #191 : Conditions And Treatments
Which of the following terms denotes a menstrual cycle that is irregular, of shorter duration than normal, and of excessive volume or duration?
Menometrorrhagia
Metrorrhagia
Amenorrhea
Oligomenorrhea
Menometrorrhagia
Menometrorrhagia is a term used to describe a menstrual cycle that is irregular, of shorter duration than normal, and of excessive volume or duration. Amenorrhea is the absence of a menstrual cycle. Metrorrhagia is a term for a menstrual cycle that is of normal flow duration and volume, but which is irregular and has a shorter-than normal cycle length. Oligomenorrhea describes a menstrual cycle that is longer than 35 days, often characterized by a prolonged follicular phase.
Example Question #1001 : Nclex
Pregnant individuals with gestational hypertension, proteinuria, and signs of liver or kidney dysfunction should be evaluated for what potentially life-threatening condition?
Ectopic pregnancy
Preeclampsia
Placenta previa
Gestational diabetes
Preeclampsia
Preeclampsia is a potentially life-threatening disorder that generally includes gestational hypertension, proteinuria, edema, red-blood cell dysfunction, and signs of liver or kidney dysfunction. It is more common in weeks 32-40 and develops in 2-8% of pregnancies worldwide.
Example Question #193 : Conditions And Treatments
At what point does preeclampsia develop into eclampsia?
At the progression into seizures
When blood pressure exceeds 160/95 mmHg
At the initiation of kidney failure
When there is evidence of vascular dysregulation
At the progression into seizures
Preeclampsia develops into eclampsia at the onset of seizures. Seizures are tonic-clonic and may appear during pregnancy, during labor, or postpartum. It is relatively rare, affecting only approximately 1.2-1.8% of pregnancies.
Example Question #194 : Conditions And Treatments
What is the most common time for miscarriages to occur?
22-28 weeks
12-20 weeks
0-12 weeks
16-24 weeks
0-12 weeks
The most common time for miscarriage to occur is during the first trimester, between 8 and 12 weeks. This may even occur before an individual is aware that they are pregnant. Chromosomal abnormalities are identified in approximately 50% of first trimester miscarriages, while later miscarriages may be more likely in individuals with uterine malformations or cervical incompetence.
Example Question #1006 : Nclex
Which of the following is a risk for preeclampsia?
All of these
Primigravida
Diabetes
History of hypertension
All of these
There are several risk factors for preeclampsia. These include history of hypertension, diabetes, older maternal age, first-time pregnancies (primigravida), and pregnancies with twins or multiples.
Example Question #201 : Conditions And Treatments
A labor and delivery nurse is assessing a newborn infant and notes that the infant appears to be jaundiced. What is a possible cause for this condition?
The mother's blood is Rh negative and gave birth to her second Rh positive child without receiving Rhogam during the pregnancy.
The mother has exposed the infant to an active genital herpes outbreak.
The mother had gestational diabetes causing jaundice of the infant.
The infant is experiencing fetal alcohol syndrome, as the mother admitted to utilizing drugs and alcohol throughout the pregnancy.
The baby has been born HIV positive, as the mother was unable to afford HIV medications.
The mother's blood is Rh negative and gave birth to her second Rh positive child without receiving Rhogam during the pregnancy.
Jaundice of a newborn may be either pathologic or physiologic. Pathologic jaundice is usually the result of Rh incompatability between the mother and the fetus. It occurs during a subsequent birth after the mother's blood has been exposed to the infant's blood during the first birth. Rhogam is given to the mother to prevent her immune system from attacking the second fetus, causing erythroblastosis fetalis and subsequent pathological jaundice.
Example Question #202 : Conditions And Treatments
A labor and delivery nurse is monitoring a client in active labor after receiving epidural anesthetic. Upon assessing the client she notes that the patient's blood pressure has fallen to 95/75.
The nurse's first action should be?
Increase IV fluids
Obtain an ECG
Give 1 mg Epinephrine
Contact the physician immediately
Place in semi fowler's position
Increase IV fluids
The first action should be to increase fluids, place on their left side and give oxygen. It is not necessary to contact the physician until all nursing interventions have failed. Epinephrine, a vasopressor should be reserved for emergent situations only.
Example Question #203 : Conditions And Treatments
A 26 year old female primigravida presents to the clinic to discuss her estimated date of birth (EDB). The nurse records the client's first day of her last menstrual period as February 28th 2015. What would be her (EDB)?
December 6, 2015
November 5, 2015
December 7, 2015
December 5, 2015
November 28, 2015
December 5, 2015
The calculation of an estimated date of birth requires applying Naegele's rule, where once determining the first day of the client's last menstral period, subtract 3 months and add 7 days and one year.
Example Question #204 : Conditions And Treatments
A labor and delivery nurse is caring for a pregnant client that is experiencing contractions and has been on an external tocodynamometer to measure fetal heart tones as well as uterine contractions. The nurse notes that there are decreases in the fetal heart rate at different times of a contraction.
The nurse is aware that this type of finding is consistent with variable decelerations, which are indicative of which of the following?
The third stage of labor
The effects of decreased pitosin infusion
Fetal head compression during contraction
An utero-placental insufficency
A prolapsed umbilical cord or nuchal cord
A prolapsed umbilical cord or nuchal cord
Variable decelerations can occur at any time during a contraction, or without a contraction. They are caused by the umbilical cord that is prolapsed or wrapped around the fetal neck also known as a "nuchal cord." The compression of the cord can ultimately lead to fetal hypoxia and therefore an intervention will be required to alleviate the compression.