OB/GYN Condition Follow-Up

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NCLEX-PN › OB/GYN Condition Follow-Up

Questions 1 - 6
1

How can endometriosis affect fertility and miscarriage rates?

Decreases fertility and increases risk of miscarriage

Increases fertility and increases risk of miscarriage

Decreases fertility and decreases risk of miscarriage

Increases fertility and decreases risk of miscarriage

Explanation

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.

2

Which of the following assessments is not a focal point of the postpartum assessment?

Stool assessment, including consistency and color

Vital signs, including blood pressure and pulse

Lochia, including color and volume

Fundus, including height, location, and consistency.

Bonding, including maternal/fetal and family dynamics

Explanation

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.

3

Which of the following ethnic groups should consider genetic counseling for thalassemia?

Mediterranean ancestry

African American

Jewish

Northern Europeans

Native Americans

Explanation

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.

4

The nurse advises a woman with mild pre-eclampsia to do all of the following except __________.

limit water intake

check blood pressure often

weigh herself daily

keep track of fetal movement

measure the protein in her urine

Explanation

It is not necessary to limit water intake in women with pre-eclampsia. It is important that women with pre-eclampsia drink at least 8 glasses of water per day. The ingestion of water may even help reduce swelling. Checking blood pressure and body weight frequently are important in tracking fluid levels. It is also important to keep track of fetal movement and notify a provider immediately if decrease in movement is noted. Women who are preeclamptic may spill protein into their urine as a result of malfunctioning kidneys.

5

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 left side

turn the mother on her right side

have the mother raise her legs

place the mother in Trendelenburg

place the mother in the tripod position

Explanation

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.

6

Endometriosis is more common in the presence of what food allergy-related condition?

Celiac disease (gluten allergy)

Anaphylaxis

Lactose intolerance

Endometriosis is unrelated to any type of food allergy

Explanation

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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