Nokea
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.
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Which statement made by the nurse would teach an adolescent using tampons how to prevent toxic shock syndrome (TSS)?
- A. Super-absorbency tampons are effective for overnight absorption.
- B. Tampons should be changed at least every 4 hours.
- C. Gloves should be worn when changing tampons.
- D. TSS can be prevented by using a pad for the first 2 days of menstrual flow.
Correct Answer: B
Rationale: Tampons should be changed every 4 hours, because a blood-soaked tampon is an excellent environment for bacteria.
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 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.
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.
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.