What is a statement about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) that is true?
- A. PMS and PMDD affect only persons who have already reached menopause.
- B. Hormonal fluctuations are not considered potential causes of PMS and PMDD.
- C. PMS and PMDD are characterized by physical symptoms but not emotional symptoms.
- D. PMS and PMDD involve a range of physical and emotional symptoms due to fluctuating hormone levels.
Correct Answer: D
Rationale:
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A client at 20 weeks' gestation is undergoing a routine ultrasound. What is the primary focus of this examination?
- A. Confirm the baby's sex.
- B. Evaluate fetal anatomy and growth.
- C. Assess maternal cervical length.
- D. Check for signs of preterm labor.
Correct Answer: B
Rationale: The 20-week ultrasound focuses on assessing fetal anatomy, growth, and structural development.
Which factor is a major barrier to health care for adolescent mothers?
- A. Health care workers have a positive attitude.
- B. The hospital or clinic is within walking distance of the girl's home.
- C. Seeing a different nurse aNnd/Ror hIealtGh caBre. pCrovMider at every visit. U S N T O
- D. The institution is open days, evenings, and Saturday by special arrangement.
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.
A client is warm and asks for a fan to put in the room. The nurse enters the room to assess the mother and infant and finds the infant unwrapped in his crib with the fan blowing on them on high. The nurse instructs the mother that the fan should not be directed at the newborn and the infant should be wrapped in a blanket. The mother asks why?
- A. The baby may lose heat by convection which means he may lose heat from his body by the cooler ambient air, you should keep him wrap and prevent cool air from blowing on him
Correct Answer: A
Rationale: The correct answer is A. Directing a fan towards a newborn can cause heat loss by convection. Convection is the transfer of heat through the movement of air or water. In this case, the fan blowing cool air directly on the infant can cause heat loss from the baby's body. Newborns have limited ability to regulate their body temperature, so it's important to keep them comfortably warm by using appropriate clothing and blankets rather than exposing them to direct air flow from a fan.
What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
- A. Use the fingertips of their index, middle, and ring fingers.
- B. Use pressure in two intensities, light and deep.
- C. Look for dimpling while bending forward from the waist.
- D. Feel for lumps while encircling the breast from nipple outward.
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.
What findings would make the nurse suspicious of anorexia in a client?
- A. Aversion to exercise and food allergies.
- B. Significant weight loss and amenorrhea.
- C. Respiratory distress and thick oral mucus.
- D. Cardiac arrhythmias and anasarca.
Correct Answer: B
Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.