A 36-year-old female who is 26 weeks pregnant is hospitalized due to preterm labor. The client has a history of uterine fibroids. The nurse should recognize that:
a. the fetus must be monitored carefully as the fibroids may increase fetal growth rate
b. the fibroids elevate the levels of estrogen and progesterone, thus retarding fetal growth
c. the hormones of pregnancy may increase the fibroid growth rate, crowding the uterus
d. benign fibroids will not interfere with pregnancy
C
Fibroid uterine tumors occur most frequently in women over 30 and those who have not had children. Menorrhagia (excessive menstrual flow) is the primary manifestation; other symptoms include increasing pelvic pressure, dysmenorrhea, abdominal enlargement, and constipation. During pregnancy, the hormones of pregnancy may increase the fibroid growth rate, crowding the uterus.
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A 72-year-old woman who has been diagnosed with breast cancer has declared her intention to seek an alternative treatment abroad that is claimed to eradicate cancer in nearly all cases. How can the nurse best respond to the woman's statement?
A) "Alternative and complementary therapies have been shown to have a valuable role in the holistic treatment of cancer.". B) "It would be a good idea to investigate whether your American insurer will reimburse for treatment in another country.". C) "It's likely in your best interests to limit your treatment to what your oncologist performs.". D) "You might want to investigate why this treatment is not available in the United States.".
A pregnant woman is admitted with premature rupture of the membranes. The nurse is assessing the woman closely for possible infection. Which of the following would lead the nurse to suspect that the woman is developing an infection? (Select all that apply.)
A) Fetal bradycardia B) Abdominal tenderness C) Elevated maternal pulse rate D) Decreased C-reactive protein levels E) Cloudy malodorous fluid
A resident has osteoarthritis. The person is overweight. Why is weight loss important for the person?
a. It will improve the person's mental well-being. b. The person is too old to be overweight. c. Weight loss reduces stress on weight-bearing joints. d. It will be easier to lift and move the per-son.
Which of the following are transferential processes?
a. Mirroring b. Dependency c. Identification d. Idealizing