The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program?
- A. Breast examination by a health professional
- B. Breast self-examination
- C. Breast biopsy
- D. Mammography
Correct Answer: D
Rationale: Mammography is a screening test used to detect breast cancer. A breast examination is a focused assessment, not a test. A breast self-examination is important, but not a screening test. A breast biopsy is a diagnostic test versus a test performed for basic screening purposes.
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What information will the nurse provide when educating a woman about the correct use of a diaphragm?
- A. Use of a spermicidal cream or jelly is not recommended.
- B. Leave in place for at least 6 hours after intercourse.
- C. Remove immediately after intercourse for douching.
- D. It is effective for up to 48 hours if positioned properly.
Correct Answer: B
Rationale: To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours.
The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation?
- A. Cloudy and tacky
- B. Scant and thick
- C. Thin and white
- D. Clear and slippery
Correct Answer: D
Rationale: Within a few days of ovulation, cervical mucus will become clear and slippery to aid the passage of sperm into the cervix.
What will the nurse advise when a woman asks what she can do to reduce the discomfort of hot flashes?
- A. Aerobic exercise helps control hot flashes.'
- B. Increase the amount of calcium and vitamin D in your diet.'
- C. Dress in layers of cotton clothing.'
- D. Drink plenty of fluids, particularly caffeinated beverages.'
Correct Answer: C
Rationale: Cotton allows easier passage of air than synthetic fabrics. Layering allows the woman to take off or put on clothes when symptoms occur.
What side effect would the nurse instruct a woman to look for when starting hormone replacement therapy (HRT)?
- A. Fatigue
- B. Headache
- C. Weight loss
- D. Amenorrhea
Correct Answer: B
Rationale: Patients initiating HRT are reminded to have regular follow-up care and report headaches, vision changes, symptoms of thrombophlebitis, and cardiac symptoms.
At her regular gynecological examination, a woman tells the nurse that she is concerned about osteoporosis. What suggestion can the nurse make to this patient?
- A. Take a vitamin E supplement daily.
- B. Do isometric exercises that can be practiced every day.
- C. Include more dairy products and green, leafy vegetables in her diet.
- D. Try to limit her intake of caffeine.
Correct Answer: C
Rationale: Foods rich in calcium include milk, dairy products, and green, leafy vegetables.
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