What history would lead you to suspect an ectopic pregnancy in a client at 8 weeks' gestation presenting with abdominal pain and bleeding?
a. Treated 1 year ago for pelvic inflammatory disease (PID)
b. Oral contraception for last 3 years
c. Urinary frequency for 1 week
d. Irregular cycles for 1 year prior to conception
ANS: A
PID causes fallopian tube damage. Blockage of the tube prevents movement of the fertilized ovum, resulting in implantation in the tube. Oral contraception for the last 3 years, urinary frequency for 1 week, and irregular cycles for 1 year prior to conception have no effect on the development of ectopic pregnancy.
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Which of the following is an example of clarifying a client's verbal response?
1. "Are you saying you feel the medicine is helping you?" 2. "See, the medicine does work." 3. "I knew it would work; it just takes time." 4. "Everything seems to work out eventually."
A 28-year-old patient who is pregnant with her first child reports increased dental caries (cavities) since becoming pregnant. How should the nurse explain the likely cause for this change?
1. "When a woman is pregnant, her teeth lose calcium and she is more susceptible to getting cavities." 2. "It may be necessary to pay extra attention to dental care while you're pregnant, especially if you're vomiting frequently." 3. "Each woman experiences changes that affect her teeth while she's pregnant." 4. "During pregnancy, tooth enamel softens and the woman is more susceptible to getting cavities."
Which of the following is a characteristic of seamless care?
A) Cost containment policies creating duplication of services B) All levels of care are available in an integrated form. C) Fewer community-based services are provided. D) Advance practice nurses dictate care delivery.
The nurse is working on the inclusion of therapeutic humor in interactions with a client. An ex-pected outcome of this technique is:
1. Elimination of negative emotions 2. Decrease in alertness 3. Willingness of client to allow others to laugh at him 4. Decrease of fears and anxiety