which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy
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Nursing Elites

HESI RN

Reproductive Health Exam

1. Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?

Correct answer: D

Rationale: Anticipatory grieving is the priority nursing diagnosis for a client with an ectopic pregnancy. An ectopic pregnancy is a life-threatening condition that requires immediate medical intervention, often resulting in emotional distress and potential loss. Anticipatory grieving addresses the emotional needs of the client and their family in anticipation of a possible loss. While pain management and infection prevention are important aspects of care, addressing the emotional well-being and coping mechanisms should take precedence in this situation. Knowledge deficit may also be relevant, but emotional support is crucial in this critical scenario.

2. Which of the following is not a role of Reproductive and Child Health Care (RCH) programs?

Correct answer: D

Rationale: The correct answer is D. Promoting abortion is not a role of the Reproductive and Child Health Care (RCH) programs. RCH programs focus on promoting awareness about reproductive health, providing facilities to build a reproductively healthy society, and offering support to reproductively sick individuals. The promotion of abortion is not within the scope of RCH programs, which aim to improve maternal and child health outcomes through education, healthcare services, and support systems.

3. Which hormone is primarily responsible for the development of female secondary sexual characteristics?

Correct answer: C

Rationale: Estrogen is primarily responsible for the development of female secondary sexual characteristics. Progesterone, while important in the menstrual cycle and pregnancy, is not primarily responsible for secondary sexual characteristics. Testosterone is the primary male sex hormone. Oxytocin is involved in labor, lactation, and social bonding, but not in the development of female secondary sexual characteristics.

4. The products of conception are retained in which of the following?

Correct answer: B

Rationale: In incomplete abortions, the products of conception are retained. In a complete abortion, all the products of conception are expelled from the uterus. Threatened abortion refers to a situation where there is vaginal bleeding but the cervix remains closed, and it does not necessarily involve retention of products of conception. Mixed abortion is not a recognized medical term related to retained products of conception.

5. Which of the following is subsidiary uterine support?

Correct answer: B

Rationale: The correct answer is B: Cardinal ligament. The cardinal ligament is a primary uterine support structure that helps to anchor the uterus in place. The suspensory ligament also provides support for the uterus but is not considered a subsidiary uterine support. The transcervical ligament does not exist in anatomical terminology. The Maklouf ligament is a fictitious term and not recognized as a subsidiary uterine support structure.

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