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Author Question: A patient is diagnosed with a uterus that is slightly retroverted. When discussing the implications ... (Read 32 times)

ghost!

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on: Jun 27, 2018
A patient is diagnosed with a uterus that is slightly retroverted. When discussing the implications of this finding, what should the nurse include?
 
  A) This finding indicates the need for surgery.
  B) This finding will render the patient infertile.
  C) This finding should not cause fertility issues.
  D) This finding could interfere with conception.

Question 2

A woman with polycystic ovary syndrome tells the nurse, I hate this disease. Just look at me I have no hair on the front of my head but I've got hair on my chin and upper lip. I don't feel like a woman anymore..
 
  Further assessment reveals breast atrophy and increased muscle mass. Which nursing diagnosis would most likely be a priority? A) Situational low self-esteem related to masculinization effects of the disease
  B) Social isolation related to feelings about appearance
  C) Risk for suicide related to effects of condition and fluctuating hormone levels
  D) Ineffective peripheral tissue perfusion related to effects of disease on vasculature


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lucas dlamini

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Reply #1 on: Jun 27, 2018
Answer to Question 1

C
Feedback:
A retroverted uterus means the uterus tips back. Minor variations of these positions do not tend to cause reproductive problems. A retroverted uterus does not mean that the patient needs surgery. A retroverted uterus does not interfere with fertility. The only way that a retroverted uterus will interfere with conception is if the abnormal position is extreme because the sharp bend can block the deposition or migration of sperm.

Answer to Question 2

A
Feedback:
The woman is verbalizing how she sees herself in light of the manifestations of PCOS. She is exhibiting a negative self-image. Therefore, the nursing diagnosis of situational low self-esteem would be a priority. There is no information about the woman's participation in social activities. Her statements do not reflect that she might hurt herself. PCOS is associated with long-term health problems, but this is not evidenced by the scenario.


ghost!

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Reply #2 on: Jun 27, 2018
Thank you :)


lucas dlamini

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Reply #3 on: Jun 27, 2018
Happy to help you


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