Nokea
A woman has chosen the calendar method of conception control. Which is the most important action the nurse should perform during the assessment process?
- A. Obtain a history of the woman's menstrual cycle lengths for the past 6 to 12 months.
- B. Determine the client's weight gain and loss pattern for the previous year.
- C. Examine skin pigmentation and hair texture for hormonal changes.
- D. Explore the client's previous experiences with conception control.
Correct Answer: A
Rationale: The calendar method of conception control is based on the number of days in each cycle, counting from the first day of menses. The fertile period is determined after the lengths of menstrual cycles have been accurately recorded for 6 months.
You may also like to solve these questions
A woman gave birth to an infant+2:230 boy 10 hours ago. Where does the nurse expect to locate this woman's fundus?
- A. 1 centimeter above the umbilicus
- B. 2 centimeters below the umbilicus
- C. Midway between the umbilicus and the symphysis pubis
- D. Nonpalpable abdominally
Correct Answer: A
Rationale: The fundus descends approximately 1 to 2 cm every 24 hours. Within 12 hours after delivery, the fundus may be approximately 1 cm above the umbilicus.
Which response by the nurse is the most therapeutic when the patient states, “I’m so afraid to N R I G B.C M U S N T O have a cesarean birth”?
- A. “Everything will be OK.”
- B. “Don’t worry about it. It will be over soon.”
- C. “What concerns you most about a cesarean birth?”
- D. “The physician will be in later and you can talk to him.”
Correct Answer: C
Rationale: The most therapeutic response by the nurse when the patient expresses fear about having a cesarean birth is to offer an open-ended question that explores the patient's concerns further. By asking, "What concerns you most about a cesarean birth?" the nurse acknowledges the patient's fears, encourages communication, and allows the patient to express her feelings and fears in more detail. This response shows empathy and enables the nurse to better address the specific worries and anxieties the patient may have about the procedure. The other options do not effectively address the patient's fears and do not promote therapeutic communication.
A health care provider performs a clinical breast examination on a woman diagnosed with fibroadenomHow would the nurse explain the defining characteristics of a fibroadenoma?
- A. Inflammation of the milk ducts and glands behind the nipples
- B. Thick, sticky discharge from the nipple of the affected breast
- C. Lumpiness in both breasts that develops 1 week before menstruation
- D. Single lump in one breast that can be expected to shrink as the woman ages
Correct Answer: D
Rationale: Fibroadenomas are usually solitary lumps that shrink as the woman ages. They are benign and distinct from other conditions like mammary duct ectasia or fibrocystic changes.
What type of mastectomy removes the entire breast but leaves the chest wall intact?
- A. total simple mastectomy
- B. modified radical mastectomy
- C. skin-sparing mastectomy
- D. nipple-sparing mastectomy
Correct Answer: A
Rationale: A total simple mastectomy is a type of mastectomy that removes the entire breast, including the breast tissue, nipple, and areola, but it leaves the chest wall muscles intact. In this procedure, the lymph nodes under the arm (axillary lymph nodes) are not typically removed. The total simple mastectomy is usually performed when the breast cancer is small and localized, and there is no evidence of spread to the surrounding lymph nodes or chest wall. This surgery is considered less extensive than other types of mastectomies, such as modified radical mastectomy, skin-sparing mastectomy, or nipple-sparing mastectomy, which involve different levels of tissue removal.
Which nursing intervention does not apply to a diagnosis of 'Deficient knowledge' related to conception?
- A. Assess the current level of factors promoting conception.'
- B. Provide information regarding conception in a supportive manner.'
- C. Evaluate the couple's support system.'
- D. Identify and describe the basic infertility tests.'
Correct Answer: C
Rationale: Evaluating the support system is more appropriate for a diagnosis related to ineffective coping rather than knowledge deficits.