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.
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What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
Correct Answer: B
Rationale: Molding is a common occurrence in vaginal deliveries due to the head passing through the birth canal. Asking about the delivery method helps assess whether molding is expected and provides an opportunity to reassure the mother that it typically resolves without complications.
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.
A woman diagnosed with endometriosis reports 'painful intercourse.' What is the appropriate medical term for the nurse to document when describing this symptom?
- A. Dyspnea
- B. Dysmenorrhea
- C. Dyspareunia
- D. Dysrhythmia
Correct Answer: C
Rationale: Dyspareunia is the term for painful sexual intercourse. Dyspnea is shortness of breath. Dysmenorrhea is painful menstruation. Dysrhythmia is irregular heart rhythm.
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.
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.
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