The nurse should be aware that a pessary would be most effective in the treatment of what disorder?

a. Cystocele c. Rectocele
b. Uterine prolapse d. Stress urinary incontinence


ANS: B
A fitted pessary may be inserted into the vagina to support the uterus and hold it in the correct position. A pessary is not used for a cystocele, a rectocele, or stress urinary incontinence.

Nursing

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The client is pregnant with twins. The nurse is providing nutritional information for this client. The client requests information about expected weight gain and achieving optimal nutrition during her pregnancy

Which of the following is the nurse's best response? (Select all that apply.) 1. "You should plan on gaining 1.5 pounds each week.". 2. "You can expect to gain between 35 and 45 pounds during this pregnancy.". 3. "You need to eat about 300 extra calories each day when compared to what you ate prior to becoming pregnant.". 4. "Let's talk about some nutrient-dense foods that will help your babies develop well.". 5. "It is important to avoid eating seafood with high levels of mercury.".

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The nurse explains that environmental risk factors that may lead to a congenital heart defect (CHD) include: (Select all that apply.)

a. Maternal alcoholism b. A family member with CHD c. Maternal hepatitis B d. Maternal syphilis e. Exposure to the coxsackie virus

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A person has agoraphobia. This means that the person has an intense fear of:

a. Being in pain or seeing others in pain b. The slightest uncleanliness c. Being in an open, crowded, or public space d. Being trapped in an enclosed or narrow space

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