The nurse assessing a 47-year-old patient who is perimenopausal ...

[MGLQZ]

The nurse assessing a 47-year-old patient who is perimenopausal includes important topics, such as: Note: credit will be given only if all correct and no incorrect choices are selected. Select all that apply.
 
  1. Vasomotor symptoms.
  2. A decrease in vaginal lubrication.
  3. Pregnancy not being an option.
  4. Mood changes that occur.
  5. An increase in the libido.

Question 2

The nurse is presenting a class for nursing students on multiple-gestation pregnancy. Which statements about multiple-gestation pregnancies are accurate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Hypertension is a major maternal complication.
  2. Gestational diabetes occurs more often.
  3. Maternal anemia occurs.
  4. Pulmonary embolism is 12 times more likely to develop during pregnancy with multiple gestations.
  5. Multiple gestations are more likely to acquire HELLP.

[popopong]

Answer to Question 1

1,2,4
Rationale 1: Women need to know that vasomotor symptoms occur. It might be important to investigate other possible causes of the vasomotor symptoms.
Rationale 2: Women need to know that a decrease in vaginal lubrication occurs, and that water-soluble lubricants should be used.
Rationale 3: During the perimenopausal stage, pregnancy still can occur, so contraception should be used.
Rationale 4: Mood changes and irritability occur, and the woman might experience more forgetfulness.
Rationale 5: The libido tends to decrease as the woman enters menopause.

Answer to Question 2

1, 2, 3, 5
Explanation: 1. Hypertension is a complication in multiple-gestation pregnancies.
2. Gestational diabetes occurs more often in multiple gestations.
3. Maternal anemia occurs because of demands of the multiple gestations.
5. Multiple gestations are more likely to acquire HELLP (hemolytic anemia, elevated liver enzymes, and low platelet count) syndrome, a complication resulting from eclampsia or preeclampsia.