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The nurse is discussing cervical mucus changes with a woman who wishes to use natural family-planning methods. What information about cervical mucus at ovulation will the woman indicate to the nurse, demonstrating that learning has taken place?
- A. Cervical mucus enhances the motility of the sperm.
- B. Cervical mucus indicates endometrial readiness for implantation.
- C. Cervical mucus facilitates movement of the ovum through the fallopian tube.
- D. Cervical mucus provides vaginal lubrication during intercourse.
Correct Answer: A
Rationale: Around the time of ovulation, the slippery, clear cervical mucus enhances the motility of the sperm.
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A woman is prescribed to take alendronate (Fosamax) for osteoporosis postmenopause. What information will the nurse provide when educating this patient on alendronate (Fosamax)? (Select all that apply.)
- A. Drink 8 oz. of water following dosage.
- B. Lay down for 30 minutes after taking.
- C. This medication has no known side effects.
- D. Avoid weight-bearing exercises.
Correct Answer: A
Rationale: Alendronate (Fosamax) may be prescribed. Esophageal and gastric irritation are common side effects of alendronate, and the woman should be instructed to drink 8 ounces of plain water and sit upright for 30 minutes after taking the drug and before eating a meal. Weight-bearing exercises such as walking, hiking, stair climbing, and dancing are advisable. High-impact exercises should be avoided.
A woman asks the nurse, 'How do oral contraceptives prevent pregnancy?' What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?
- A. Makes cervical mucus hostile to sperm
- B. Prevents ovulation
- C. Prohibits implantation of the egg
- D. Acts as a barrier by destroying sperm
Correct Answer: B
Rationale: Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation.
The nurse is planning to teach a woman about perimenopause. What would the nurse include regarding lowered estrogen level?
- A. It prevents osteoporosis.
- B. It decreases vaginal lubrication.
- C. It raises the level of low-density lipoproteins.
- D. It raises the level of high-density lipoproteins.
Correct Answer: C
Rationale: Estrogen increases the amount of high-density lipoproteins that carry cholesterol from body cells to the liver for excretion. With lowered levels of estrogen, low-density lipoproteins increase, causing an increase in the incidence of heart attacks and strokes.
The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
- A. Abstain from sex.
- B. Use the male condom.
- C. Use the female condom.
- D. Use the barrier method.
Correct Answer: A
Rationale: Abstinence is 100% effective in preventing pregnancy and sexually transmitted diseases.
The nurse reviews the procedure for breast self-examination (BSE) with a 25-year-old woman who has a family history of breast cancer. When reviewing the procedure, when will the nurse indicate as the best time for a woman to perform a breast self-examination?
- A. A few days before her period
- B. During her menstrual period
- C. On the last day of menstrual flow
- D. One week after the beginning of her period
Correct Answer: D
Rationale: The best time for BSE is 1 week after the beginning of the menstrual period.