Nokea
What is a risk factor for breast cancer?
- A. menarche at age 15
- B. family history of diabetes
- C. alcohol use of at least 2 drinks per day
- D. history of three vaginal births by age 25
Correct Answer: C
Rationale: The correct answer is C: alcohol use of at least 2 drinks per day. Alcohol consumption is a known risk factor for breast cancer as it can increase estrogen levels in the body, which may contribute to the development of breast cancer. Menarche at age 15 (Choice A) is not a risk factor, as early menarche is associated with a slightly increased risk but not a significant one. Family history of diabetes (Choice B) is unrelated to breast cancer risk. History of three vaginal births by age 25 (Choice D) is actually a protective factor against breast cancer due to the changes in hormonal levels during pregnancy and breastfeeding.
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What condition is associated with advanced paternal age?
- A. Autosomal dominant disorder
- B. Schizophrenia
- C. Autism spectrum disorder
- D. Down syndrome
Correct Answer: D
Rationale: Advanced paternal age increases the risk of autosomal dominant disorders, schizophrenia, and autism spectrum disorder, but not Down syndrome, which is linked to maternal age.
Which key point is important for the nurse to understand regarding the perinatal continuum of care?
- A. Begins with conception and ends with the birth
- B. Begins with family planning and continues until the infant is 1 year old
- C. Begins with prenatal care and continues until the newborn is 24 weeks old
- D. Refers to home care only
Correct Answer: B
Rationale: The perinatal continuum of care spans from family planning through to the infant's first year, including both home and healthcare facility services. It covers more than just prenatal care and birth.
What is the importance of obtaining informed consent for a number of contraceptive methods?
- A. Contraception is an invasive procedure that requires hospitalization.
- B. The method may require a surgical procedure to insert a device.
- C. The contraception method chosen may be unreliable.
- D. The method chosen has potentially dangerous side effects.
Correct Answer: D
Rationale: It's essential to provide informed consent as some contraceptive methods carry side effects or risks, allowing the client to make an educated choice regarding the method.
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previWhich of the following actions should the nurse plan to take?
- A. Initiate continuous monitoring of the FHR.
- B. Administer a dose of betamethasone.
- C. Check the cervix for dilation every 8 hr.
- D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A
Rationale: Continuous fetal heart rate monitoring is essential in placenta previa to assess for fetal distress.
The nurse would advise the patient to report what symptom immediately during a PD-1 (checkpoint inhibitor) infusion?
- A. nausea
- B. fatigue
- C. dizziness
- D. diarrhea
Correct Answer: C
Rationale: The correct answer is C: dizziness. Dizziness during a PD-1 infusion can indicate a potential serious adverse reaction, such as immune-related neurological toxicity. Prompt reporting is crucial to prevent complications. Nausea, fatigue, and diarrhea are common side effects of PD-1 inhibitors but are typically not considered immediate concerns for infusion reactions. Reporting dizziness ensures timely assessment and intervention to manage any severe adverse effects.