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A nurse is caring for a client with a new diagnosis of a vaginal fistula.
The client states, "I don't understand how I got this.”. Which of the following is a potential cause of a vaginal fistula?

A.

Open heart surgery.

B.

Tissue trauma from childbirth.

C.

Diabetes mellitus.

D.

Preeclampsia.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Open heart surgery is unrelated to the development of vaginal fistulas.

 

Choice B rationale

Tissue trauma from childbirth can cause vaginal fistulas, as prolonged labor or obstetric interventions can damage vaginal tissue and lead to fistula formation.

 

Choice C rationale

Diabetes mellitus does not directly cause vaginal fistulas, although it can affect overall tissue health and healing.

 

Choice D rationale

Preeclampsia, while a serious pregnancy complication, is not a direct cause of vaginal fistulas.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Dexamethasone is a corticosteroid and is not used for treating ectopic pregnancy.

Choice B rationale

Clomid (clomiphene citrate) is used to stimulate ovulation, not to treat ectopic pregnancy.

Choice C rationale

Methotrexate is a chemotherapeutic agent that effectively stops the growth of ectopic pregnancy cells, allowing the pregnancy tissue to be reabsorbed by the body.

Choice D rationale

Progesterone supports pregnancy and is not used to treat ectopic pregnancy.

Correct Answer is B

Explanation

Choice A rationale

Umbilical cord compression typically results in variable decelerations in the fetal heart rate, not moderate variability or regular accelerations. It can lead to changes in fetal heart rate

patterns, but not regular mild contractions.

Choice B rationale

Dysfunctional labor refers to an abnormal labor pattern, including irregular uterine contractions. The described symptoms fit this condition, as they can cause mild pain and be

managed by ambulation, showers, and rest.

Choice C rationale

Chorioamnionitis is an infection of the fetal membranes and amniotic fluid, leading to fever, uterine tenderness, and foul-smelling amniotic fluid, not mild contractions and moderate

variability in FHR.

Choice D rationale

Iron deficiency anemia in pregnancy can cause fatigue, pallor, and shortness of breath but does not affect uterine contractions or fetal heart rate.

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