The nurse in an OB-GYN office is assessing a woman who has a history of miscarriages. The nurse knows that miscarriages can be caused by: Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. A change in the uterine ligaments.
2. Uterus didelphys.
3. Exposure to diethylstilbestrol.
4. An anteverted uterus.
5. A bicornuate uterus.
2,3,5
Rationale 1: The uterine ligaments support the uterus, and are not associated with increased miscarriage.
Rationale 2: Uterine malformations such as uterus didelphys ("double uterus") are associated with habitual abortion.
Rationale 3: About a fourth of women exposed to diethylstilbestrol (DES) in utero have structural variations of the cervix, uterus, and vagina. These women have increased incidence of miscarriage.
Rationale 4: If there is a bend in the area of the isthmus of the uterus, and from there the cervix points downward, the uterus is said to be anteverted or anteflexed. This is normal.
Rationale 5: Uterine malformations such as the uterus bicornuate ("two-horned") are associated with habitual abortion.
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A nurse is teaching a community parent group about signs and symptoms of Lyme disease. Which statements does the nurse include? (Select all that apply.)
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The nurse prepares to administer a medication available in a glass ampule by IM injection. Which does the nurse implement to administer the injection properly?
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Further assessment reveals that the client hasn't had his prescription medications renewed for the past two months. The nurse suspects which type of abuse? A) Physical B) Economic C) Psychological D) Sexual