in which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test

HESI RN

Reproductive System Exam Quizlet

1. In which of the following types of spontaneous abortions would the nurse assess dark brown vaginal discharge and a negative pregnancy test?

A. Threatened
B. Imminent
C. Missed
D. Incomplete

Correct answer: C

Rationale: Dark brown vaginal discharge and a negative pregnancy test are characteristic of a missed abortion. In a missed abortion, the fetus has died, but the products of conception are retained in the uterus. This can lead to symptoms like dark brown vaginal discharge as the body tries to expel the nonviable pregnancy. A threatened abortion is characterized by vaginal bleeding without dilation of the cervix, and the pregnancy remains viable. Imminent abortion involves cervical dilation and effacement with no passage of tissue. In an incomplete abortion, only part of the products of conception are expelled, leading to persistent bleeding and cramping.

2. What is one goal of family planning?

A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
B. Limiting couples and individuals to one or two children
C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
D. Providing a permanent method of family planning after having three children

Correct answer: A

Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.

3. The letter 'T' in the Acronym 'GATHER' denotes:

A. Ask the client about themselves - particular needs, obstetric and medical history
B. Tell the client about modern FP methods available, and discuss each in detail
C. Help the client choose a method and repeat information regarding the chosen method if necessary
D. Explain how to use the method - what, where, when, and how

Correct answer: B

Rationale: The correct answer is B: 'Tell the client about modern FP methods available, and discuss each in detail.' In the GATHER acronym, 'T' stands for providing information about modern family planning methods to the client and having a detailed discussion. Choices A, C, and D are incorrect because they do not accurately represent the 'T' component in the GATHER approach. Choice A focuses more on gathering information from the client, choice C is about helping the client choose a method, and choice D is about explaining how to use the method, none of which align with the 'T' in GATHER.

4. During fertilization, the portion of the decidua covering the blastocyst is called:

A. Decidua basalis
B. Decidua Vera
C. Decidua parietalis
D. Decidua capsularis

Correct answer: D

Rationale: During fertilization, the decidua capsularis is the specific portion of the decidua that covers the blastocyst, providing protection and support. Decidua basalis refers to the part of the decidua located at the site of implantation on the maternal side. Decidua vera is the remainder of the decidua lining the uterus. Decidua parietalis is the portion of the decidua that lines the rest of the uterine cavity, except for the site of implantation. Therefore, in the context of fertilization, the decidua capsularis is the correct answer.

5. Which of the following is included in a pelvic examination?

A. Inspection of internal genitalia
B. Inspection of the cervix and vaginal wall
C. Palpation of the vagina and vaginal cervix by digital examination
D. Rectal examination

Correct answer: B

Rationale: The correct answer is B. A pelvic examination involves the inspection of the cervix and vaginal wall. This is typically done to assess the health of the reproductive organs and screen for any abnormalities. Choices A, C, and D are incorrect because while palpation and digital examination may be part of a pelvic exam, the specific focus on the cervix and vaginal wall is a key component that distinguishes it from other types of examinations.