Which problem should the nurse use when planning care for this client?

Correct Answer: B

Rationale: In early pregnancy, complications can arise that require careful planning and consideration when providing care to the client. In this scenario, the correct answer is B) conflict with family over gender expression. This is the most appropriate problem for the nurse to address because conflicts with family over gender expression can significantly impact the emotional well-being and support system of the pregnant individual. It is crucial for the nurse to address and resolve these conflicts to ensure the overall health and safety of both the client and the developing fetus. Option A) conflict with gender identity is not directly related to the immediate care needs of the client in early pregnancy. While gender identity is an important aspect of holistic care, in this specific context, addressing conflicts over gender expression within the family is more urgent and relevant to the client's immediate well-being. Educationally, this question highlights the importance of assessing and addressing psychosocial factors that can impact a pregnant individual's health during early pregnancy. It emphasizes the role of the nurse in providing holistic care that goes beyond just physical health concerns and includes emotional and social support. By understanding and addressing family dynamics and conflicts, nurses can better support their clients through this crucial period in their lives.

Correct Answer: A

Rationale: The correct answer is A) A vaccine has been approved to prevent the human papillomavirus (HPV). This response is correct because there is indeed a vaccine available to prevent HPV, which is a sexually transmitted infection (STI) known to cause cervical cancer and other complications. Educating individuals, especially those in early pregnancy, about the importance of HPV vaccination can help prevent future health issues for themselves and their offspring. Option B) There are no vaccines available for STIs is incorrect. There are vaccines available for certain STIs, such as HPV, hepatitis A, and hepatitis B. Option C) Vaccines are available for hepatitis A, hepatitis B, and HPV is partially correct, but it fails to mention other STIs like HIV and HSV for which there are no vaccines currently available. Option D) Vaccines are under development for HIV and HSV is incorrect as there are currently no vaccines approved for these STIs. It is important for healthcare professionals to stay updated on the current status of STI vaccines to provide accurate information to individuals, including pregnant women, who may have questions or concerns about STI prevention. Understanding the availability of vaccines for different STIs is crucial in promoting overall maternal and fetal health during early pregnancy.

Correct Answer: A

Rationale: Rationale: The correct answer is A) The test is conducted because of abnormal results in a Papanicolaou test. This is because a colposcopy is a procedure done to further evaluate abnormal cervical cells identified during a Pap smear. It allows for a closer examination of the cervix to determine the extent of abnormality and whether any treatment is needed. Option B) Colposcopy is painful and requires recovery time is incorrect because while some women may experience mild discomfort during the procedure, it is generally well-tolerated and does not require recovery time. Option C) Intercourse should be avoided for a week after the procedure is incorrect because there is typically no need to abstain from intercourse after a colposcopy unless otherwise instructed by the healthcare provider. Option D) Colposcopy is unnecessary unless symptoms are present is incorrect as colposcopy is a recommended follow-up for abnormal Pap smear results, regardless of the presence of symptoms. It is a crucial step in the early detection and management of cervical abnormalities, thus not to be deemed unnecessary. Educationally, understanding the purpose and process of a colposcopy is essential for women's health. By providing accurate information, healthcare professionals can empower clients to make informed decisions about their care and alleviate any unnecessary anxiety or misconceptions surrounding the procedure.

Correct Answer: A

Rationale: Rationale: The correct answer is A) You should be sure to receive consistent testing for cervical cancer. This information is crucial for a client diagnosed with HPV because certain strains of HPV can lead to cervical cancer. Regular testing, such as Pap smears and HPV screenings, is essential for early detection and treatment of any abnormal changes in the cervix. By monitoring the client consistently, healthcare providers can intervene promptly if any cancerous or pre-cancerous cells are detected. Option B) HPV can be cured with antiviral medication is incorrect because there is currently no cure for HPV. Antiviral medications may be prescribed to manage symptoms or treat complications of HPV, but they do not eradicate the virus itself. Option C) Surgical removal of warts prevents transmission of HPV is incorrect because while removing visible warts can reduce the risk of transmission, it does not eliminate the virus from the body. HPV can still be present in the skin or mucous membranes even if warts are not visible. Option D) Outbreaks are temperature-related is incorrect as HPV outbreaks are not influenced by temperature. HPV is a sexually transmitted infection, and its occurrence is not related to environmental factors like temperature. In an educational context, it is important for nurses to provide accurate information to clients diagnosed with HPV to empower them to make informed decisions about their health. Understanding the implications of HPV, the importance of regular screenings, and the limitations of current treatments can help clients manage their condition effectively and prevent potential complications like cervical cancer.

Correct Answer: B

Rationale: In early pregnancy, understanding the pharmacokinetics of drugs during lactation is crucial for maternal and infant health. The correct answer is B) breast milk than in the maternal circulation. The milk to plasma (M/P) ratio of 2 indicates that the drug concentration in breast milk is two times higher than in the maternal circulation. This means that the drug is more concentrated in breast milk than in the mother's blood, posing a risk of higher exposure to the infant through breastfeeding. Option A) maternal circulation than in the breast milk is incorrect because the M/P ratio of 2 indicates the opposite relationship. Option C) infant circulation than in the breast milk is incorrect as the focus of the ratio is on the comparison between drug levels in breast milk and maternal blood, not the infant's circulation. Option D) breast milk than in infant circulation is incorrect as the ratio compares drug concentrations in breast milk to maternal blood, not to the infant's circulation. Educationally, this question highlights the importance of understanding drug transfer during lactation. Healthcare providers need to consider the M/P ratio to assess potential risks to the infant from drug exposure through breast milk. This knowledge is essential for making informed decisions regarding medication use during breastfeeding to ensure the safety of both the mother and the infant.