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Which factors contribute to a woman’s perception of her body? Select all that apply.
- A. Role of motherhood
- B. Sexuality
- C. Relationships at work
- D. Family and social relationships
Correct Answer: B
Rationale: The correct answer is B: Sexuality. This factor contributes to a woman's perception of her body as it influences how she views herself in terms of attractiveness, desirability, and self-image. Sexuality plays a significant role in shaping body image and self-esteem.
A: Role of motherhood - While motherhood can impact body image, it is not a universal factor for all women.
C: Relationships at work - While work relationships can influence self-esteem, they may not directly impact body perception.
D: Family and social relationships - While important, they may not directly relate to body perception as much as sexuality does.
In summary, sexuality plays a crucial role in shaping a woman's perception of her body compared to the other factors listed.
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The nurse is meeting with a client who was newly diagnosed with polycystic ovary syndrome. She knows that the client has the potential for which diagnoses? Select all that apply.
- A. Knowledge deficit
- B. Disturbed body image
- C. Risk for type 2 diabetes
- D. Impaired mobility
Correct Answer: D
Rationale: The correct answer is D: Impaired mobility. This is because polycystic ovary syndrome (PCOS) can lead to obesity and insulin resistance, which in turn can increase the risk of impaired mobility due to joint pain, reduced muscle strength, and overall decreased physical activity. The other choices are incorrect because A (Knowledge deficit) can be addressed through education, B (Disturbed body image) is more related to self-esteem and body perception issues, and C (Risk for type 2 diabetes) is a potential consequence of PCOS but not directly related to impaired mobility.
The client calls the nurse and states she has not had a menstrual cycle in 3 months. What does the nurse know is the most common cause of secondary amenorrhea?
- A. Weight loss
- B. Pregnancy
- C. Cancer
- D. Menopause
Correct Answer: B
Rationale: The correct answer is B: Pregnancy. In the case of secondary amenorrhea, where a woman stops menstruating after previously having regular cycles, pregnancy is the most common cause. Pregnancy leads to a halt in the menstrual cycle due to hormonal changes to support the developing fetus. Other choices are incorrect: A) Weight loss can affect menstruation but is not the most common cause of secondary amenorrhea. C) Cancer can also disrupt the menstrual cycle, but it is not the primary cause in this scenario. D) Menopause typically occurs in women in their late 40s to early 50s, and would not be the most common cause of secondary amenorrhea in a younger woman.
Which best describes the signs and symptoms of trichomoniasis in women?
- A. Foul, fishy odor and thick clumpy white vaginal discharge
- B. Malodorous, frothy yellow-green vaginal discharge
- C. Dysuria and thin milky-white vaginal discharge
- D. Condition is asymptomatic in women
Correct Answer: B
Rationale: Rationale: Trichomoniasis is characterized by malodorous, frothy yellow-green vaginal discharge due to the presence of Trichomonas vaginalis parasite. This discharge is a hallmark sign of the infection. Other choices are incorrect because:
A: Foul, fishy odor and thick clumpy white discharge are more indicative of bacterial vaginosis or yeast infection.
C: Dysuria and thin milky-white discharge are more suggestive of a urinary tract infection.
D: Trichomoniasis can manifest with symptoms in women such as vaginal discharge, itching, and discomfort.
A nurse is providing preoperative teaching for a woman who is undergoing a total mastectomy. Which will this teaching include? Select all that apply.
- A. Explain that she will have an IV, a drain, and a dressing in place on awakening. Tell her about expectations she may have regarding physical appearance, pain management, equipment that will be used (IVs, drains, etc.).
- B. Explain that she will be provided pain management as needed; monitor and review the pain scale to be used to identify level of intensity.
- C. Have her elevate the affected arm with pillows.
- D. Turn the woman every 4 hours, alternating between the unaffected side and affected side. To prevent pneumonia and complications, have her cough and take deep breaths every 2 hours, while nurse applies support to the chest.
Correct Answer: C
Rationale: Rationale for Answer C (Correct Answer):
1. Elevating the affected arm with pillows post-mastectomy helps reduce swelling and promote lymphatic drainage, aiding in preventing lymphedema.
2. By elevating the arm, it reduces strain on the surgical site and surrounding tissues, promoting comfort and aiding in the healing process.
3. This positioning also helps in preventing postoperative complications such as shoulder stiffness and contractures.
Summary of Why Other Choices are Incorrect:
- Choice A: While important aspects of preoperative teaching, it does not specifically address the need to elevate the affected arm post-mastectomy.
- Choice B: Pain management is crucial, but it does not directly relate to the need for arm elevation post-mastectomy.
- Choice D: Turning every 4 hours and coughing exercises are important for preventing complications but do not address the specific need for arm elevation post-mastectomy.
Reduction in congenital rubella is best accomplished by:
- A. Avoiding contact with young children when infections are prevalent
- B. Taking prophylactic antibiotics during the second half of pregnancy
- C. Testing the rubella titer at the first prenatal visit to determine immunity
- D. Immunizing susceptible women at least 28 days before they become pregnant
Correct Answer: D
Rationale: The correct answer is D because immunizing susceptible women at least 28 days before they become pregnant ensures protection against rubella during pregnancy, reducing the risk of congenital rubella syndrome in the fetus. This timing allows for the development of immunity before conception.
Avoiding contact with young children (A) does not directly prevent rubella transmission to pregnant women. Taking prophylactic antibiotics during pregnancy (B) is not recommended for rubella prevention. Testing rubella titer at the first prenatal visit (C) only assesses current immunity status but does not actively prevent congenital rubella.