The nurse is presenting a class on the pathophysiology of the different abortions. Some of the causes are which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Chromosomal abnormalities
2. Insufficient or excessive hormonal levels
3. Sexual intercourse in the first trimester
4. Infections in the first trimester
5. Cervical insufficiency
1, 2, 4, 5
Explanation: 1. Chromosomal defects are generally seen as spontaneous abortions during weeks 4 to 8.
2. Insufficient or excessive hormonal levels usually will result in spontaneous abortion by 10 weeks' gestation.
4. Infectious and environmental factors may also be seen in first trimester pregnancy loss.
5. In late spontaneous abortion, the cause is usually a maternal factor, for example, cervical insufficiency or maternal disease, and fetal death may not precede the onset of abortion.
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When caring for a 7-week-old infant with hypothyroidism, the nurse explains that the prevention of what complication is dependent on the administration of oral thyroid replacement therapy and is critical for the child?
a. Excessive growth b. Cognitive impairment c. Damage to the nervous system d. Damage to the urinary system
A client reports to the emergency department with ankle pain due to a minor road accident. By asking the client to describe the accident, what type of nursing skill is the nurse using?
A) Assessment skills B) Comforting skills C) Counseling skills D) Caring skills
Placing the base of a vibrating tuning fork on the midline vertex of the patient's head is a test for:
a. air conduction of sound. b. bone versus air conduction. c. lateralization of sound. d. mallear auditory ability.
Nonadherence is especially common in drugs that treat asymptomatic conditions, such as hypertension. One way to reduce the likelihood of nonadherence to these drugs is to prescribe a drug that:
1. Has a short half-life so that missing one dose has limited effect
2. Requires several dosage titrations so that missed doses can be replaced with lower doses to keep costs down
3. Has a tolerability profile with fewer of the adverse effects that are considered "irritating," such as nausea and dizziness
4. Must be taken no more than twice a day