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.
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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 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.
What statement by a man considering a vasectomy indicates a need for further information?
- A. Sterility does not occur immediately after the procedure.'
- B. We will need to use some form of birth control for about a month afterward.'
- C. The procedure involves the use of local anesthesia.'
- D. I'll need to remain in the hospital for a few days.'
Correct Answer: D
Rationale: A vasectomy takes about 20 minutes and is performed on an outpatient basis under local anesthesia.
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 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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