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In the week before her menstrual period, a woman experiences irritability, anxiety, and difficulty concentrating. What remedy might the nurse suggest to relieve these symptoms?
- A. Drink tea or hot chocolate before going to bed.
- B. Take a daily folic acid and vitamin C supplement.
- C. Include complex carbohydrates and fiber in the diet.
- D. Avoid exercise when symptoms occur.
Correct Answer: C
Rationale: A diet rich in complex carbohydrates and fiber is recommended for premenstrual dysmorphic disorder.
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On day 13 of a 28-day cycle, a woman's basal body temperature is 36.5?°C (97.7?°F). What will her temperature measurement most likely be if ovulation takes place on day 14?
- A. 35.9?°C (96.7?°F)
- B. 36.3?°C (97.3?°F)
- C. 36.7?°C (98.1?°F)
- D. 37.1?°C (98.9?°F)
Correct Answer: C
Rationale: At the time of ovulation, body temperature will increase slightly, about 0.2?°C (0.4?°F).
The nurse cautions that women with a history of which disorders are not candidates for HRT? (Select all that apply.)
- A. Melanoma
- B. Estrogen-dependent breast cancer
- C. Hepatitis C
- D. Thromboembolic disease
- E. Hyperthyroidism
Correct Answer: A,B,C,D
Rationale: Persons who are absolutely restricted from HRT are those with melanoma, estrogen-dependent breast cancers, chronic liver disorders, thromboembolic disease, and seizure disorders.
A 48-year-old woman tells the nurse, 'I missed my period last month. Am I in menopause?' The nurse knows that at which point is a woman considered to be menopausal?
- A. Her periods have stopped for 1 year.
- B. Her periods have been irregular and light for 12 months.
- C. She has symptoms of vasomotor instability.
- D. She experiences symptoms of decreased estrogen, such as dyspareunia.
Correct Answer: A
Rationale: When a woman's menstrual periods have stopped for 1 year, she is considered menopausal.
The nurse instructs a woman taking oral contraceptives to report which possible side effects? (Select all that apply.)
- A. Abdominal pain
- B. Weight gain
- C. Headache
- D. Eye or visual problems
- E. Speech disturbances
Correct Answer: A,C,D,E
Rationale: The memory aid ACHES is helpful: abdominal pain, chest pain, headaches, eye problems, and speech disturbances. Weight gain is an expected side effect of oral contraceptives.
The nurse is educating a woman diagnosed with premenstrual dysphoric disorder (PMDD). What is the best type of diet for the nurse to recommend?
- A. High protein, low fat
- B. High carbohydrate, high fiber
- C. Low calorie, low fat
- D. Low carbohydrate, high protein
Correct Answer: B
Rationale: Treatment of PMDD includes a diet rich in complex carbohydrates and fiber (to lengthen effects of the carbohydrate meal).