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The emergency department nursing assessment of a pregnant female at 35 weeks gestation reveals back pain, blood pressure 150/92, and leaking of clear fluid from the vagina. Which complication of pregnancy does the nurse suspect?


A) Ectopic pregnancy
B) Spontaneous abortion
C) Premature rupture of membranes
D) Supine hypotension

E) None of the above
F) A) and B)

Correct Answer

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A female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented. To prevent ovulation while reaching 99% effectiveness in preventing pregnancy, which option should be given the strongest consideration?


A) Intrauterine device
B) Coitus interruptus
C) Natural family planning
D) Oral contraceptive pills

E) None of the above
F) All of the above

Correct Answer

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The nurse is admitting a prenatal patient for diagnostic testing. While eliciting the psychosocial history, the nurse learns the patient smokes a pack of cigarettes daily, drinks a cup of cappuccino with breakfast, has smoked marijuana in the remote past, and is a social drinker. Which action should the nurse first take?


A) Strongly advise immediate tobacco cessation
B) Elimination of all caffeinated beverages
C) Serum and urine testing for drug use and alcohol use
D) Referral to a 12-step program

E) None of the above
F) All of the above

Correct Answer

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A

The nurse at the family planning clinic conducts a male history for infertility evaluation. Which finding has the greatest implication for this patient's care?


A) Practice of nightly masturbation
B) Primary anovulation
C) High testosterone levels
D) Impotence due to alcohol ingestion

E) None of the above
F) C) and D)

Correct Answer

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D

A female patient comes to the clinic after missing one menstrual period. She lives in a house beneath electrical power lines which is located near an oil field. She drinks two caffeinated beverages a day, is a daily beer drinker, and has not stopped eating sweets. She takes a multivitamin and exercises daily. She denies drug use. Which finding in the history has the greatest implication for this patient's plan of care?


A) Electrical power lines are a potential hazard to the woman and her fetus.
B) Living near an oil field may mean the water supply is polluted.
C) Alcohol exposure should be avoided during pregnancy due to teratogenicity.
D) Eating sweets may cause gestational diabetes or miscarriage.

E) None of the above
F) A) and B)

Correct Answer

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A female infertility patient is found to be hypoestrogenic at the preChapterual clinic visit. She asks the nurse why she has never been able to get pregnant. Which response is best?


A) Circulating estrogen contributes to secondary sex characteristics.
B) Estrogen deficiency prevents the ovum from reaching the uterus and may be a factor in infertility.
C) Hyperestrogen may be preventing the zona pellucida from forming an ovum protective layer.
D) The corona radiata is preventing fertilization of the ovum.

E) A) and C)
F) C) and D)

Correct Answer

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An obstetric multipara with triplets is placed on bed rest at 24 weeks' gestation. Her perinatologist is managing intrauterine growth restriction with serial ultrasounds. This prescribed treatment is an example of which type of care?


A) Antenatal diagnostics
B) Primary prevention
C) Secondary prevention
D) Collaborative intervention

E) A) and B)
F) A) and C)

Correct Answer

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D

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