Complete Solutions
A 20-year-old woman is at 28 weeks' gestation. Her prenatal
history reveals past drug abuse, and urine screening indicates
that she has recently used heroin. The nurse should recognize
that the woman is at increased risk for:
a. Diabetes Mellitus
b. Erythroblastosis Fetalis (Hydrops)
c. Malnutrition
d. Abruptio Placentae Correct Answer c. Malnutrition
d. Abruptio Placentae
A 25-year-old primigravida is 20 weeks' gestation. At the clinic,
her nurse begins a prenatal assessment and obtains the following
vital signs. Which finding would require the nurse to contact the
physician?
a. Pulse 88
b. BP 135/80
c. T 99.2
d. RR 30 Correct Answer d. RR 30
A 25-year-old woman comes to the clinic for her regular annual
gynecologic examination. When taking the history, the woman
tells the nurse that she has been dieting for the past year and has
lost 150 lb (from 250 to 100 lb). Her menstruation stopped 6
months ago. A chart review indicates that prior to this visit her
menses had been regular every 28 days. The nurse can classify
this woman with:
a. Uterine cancer
b. Secondary amenorrhea
,c. Amenorrhea of unknown origin
d. Primary amenorrhea Correct Answer b. Secondary
amenorrhea
A 25-year-old woman is in for her first gynecologic
examination. She is in good health and has no family history of
cancer or reproductive diseases.
a. She asks the nurse if a mammogram will be performed. The
nurse is aware that this woman will:
a. not need a mammogram until she is 45 years old.
b. not need a mammogram until she is 30 years old.
c. need a mammogram this year, and it should be repeated every
2 years.
d. need a mammogram this year, and it should be repeated every
5 years. Correct Answer a. not need a mammogram until she is
45 years old.
A 25-year-old woman is in for her first gynecologic
examination. She is in good health and has no family history of
cancer or reproductive diseases. She asks the nurse if a
mammogram will be performed. The nurse is aware that this
woman will:
a. not need a mammogram until she is 30 years old.
b. not need a mammogram until she is 45 years old.
c. need a mammogram this year, and it should be repeated every
5 years.
d. need a mammogram this year, and it should be repeated every
2 years. Correct Answer b. not need a mammogram until she is
45 years old.
, A 26-year-old woman is considering medroxyprogesterone
acetate (Depo-Provera) as the form of contraception that is best
for her. To assist this woman with making a decision concerning
this method of contraception, the nurse would tell her that Depo-
Provera:
a. should not be used if she has a history of estrogen-sensitive
cancer.
b. would require that she return to the clinic every 3 months.
c. is inserted subcutaneously into the upper inner arm.
d. is effective for 3 years. Correct Answer b. would require that
she return to the clinic every 3 months.
A 28-year-old woman comes to the clinic for her regular annual
gynecologic examination. When taking the history, the woman
tells the nurse that she has been dieting for the past year and has
lost 150 lb (from 250 to 100 lb). Her menstruation stopped 6
months ago. A chart review indicates that prior to this visit her
menses had been regular every 28 days. The nurse can classify
this woman with:
a. Amenorrhea of unknown origin
b. Primary amenorrhea
c. Secondary amenorrhea
d. Uterine Cancer Correct Answer c. Secondary amenorrhea
A 32-week-pregnant woman calls the prenatal clinic
complaining of bleeding without pain or contractions. The nurse
should:
a. make her an appointment for the next morning
b. tell her to go to the hospital to be evaluated
c. have her assess fetal movement for 30 minutes