30.An adolescent girl came with complaints of difficulty and pain during sexual intercourse. She has regular menstrual period with abdominal cramps. On pelvic examination: a nurse identified loses of hymen membrane and a membrane like structure with small perforation on middle third of vagina. The nurse suspected that her problem is vaginal congenita l anomalies. What is the most likely manifestation for diagnosis of this condition? (Tikimt 2013/October2020) A. Abdominal . cramp B. Small perforation C. Painful sexual intercourse D. Membrane like structure 31. A 20 weeks pregnant woman came with the complaint of vaginal bleeding for three hours. She had abdominal and back pain. On examination, her hemoglobin level was 9g/dl (NR: 10.5-13.7g/dt) , blood pressure 90/50mmHg and pulse rate 110/min . The woman was diagnosed for inevitable abortion. What is the priority nursing interventior for this woman?(Tikimt 2013/October 2020) A. Provide analgesia B. Reassure the woman C. Prepare for blood transfusion D. Resuscitate with normal saline

Question

30.An adolescent girl came with complaints of difficulty and pain during sexual intercourse. She has regular menstrual period with abdominal cramps. On pelvic examination: a nurse identified loses of hymen membrane and a membrane like structure with small perforation on middle third of vagina. The nurse suspected that her problem is vaginal congenita l anomalies. What is the most likely manifestation for diagnosis of this condition? (Tikimt 2013/October2020) A. Abdominal . cramp B. Small perforation C. Painful sexual intercourse D. Membrane like structure 31. A 20 weeks pregnant woman came with the complaint of vaginal bleeding for three hours. She had abdominal and back pain. On examination, her hemoglobin level was 9g/dl (NR: 10.5-13.7g/dt) , blood pressure 90/50mmHg and pulse rate 110/min . The woman was diagnosed for inevitable abortion. What is the priority nursing interventior for this woman?(Tikimt 2013/October 2020) A. Provide analgesia B. Reassure the woman C. Prepare for blood transfusion D. Resuscitate with normal saline

Answer 1

30. The correct answer is C. Painful sexual intercourse.Explanation: The adolescent girl's symptoms of difficulty and pain during sexual intercourse, along with the findings of loss of hymen membrane and a membrane-like structure with small perforation on the middle third of the vagina, suggest the presence of vaginal congenital anomalies. The most likely manifestation for the diagnosis of this condition is painful sexual intercourse.31. The correct answer is D. Resuscitate with normal saline.Explanation: The woman's hemoglobin level of 9 g/dl, blood pressure of 90/50 mmHg, and pulse rate of 110/min indicate that she is experiencing significant blood loss and is in a state of shock. The priority nursing intervention for this woman is to resuscitate her with normal saline to help restore her blood volume and stabilize her vital signs.

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