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Which female reproductive organ(s) is(are) responsible for cyclic menstruation?
- A. Uterus
- B. Ovaries
- C. Vaginal vestibule
- D. Urethra
Correct Answer: A
Rationale: The uterus is responsible for cyclic menstruation as it responds to hormonal changes during the menstrual cycle.
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A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
- A. Premature ovarian failure
- B. Renal calculi
- C. Dysmenorrhea
- D. Recurrent urinary tract infection
Correct Answer: A
Rationale: Premature ovarian failure leads to decreased estrogen production and lack of ovulation, significantly affecting fertility.
The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health?
- A. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility.
- B. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts.
- C. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk.
- D. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.
Correct Answer: A
Rationale: The education that the nurse should provide to the lesbian patient pertains to her health includes the fact that lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. It is important for the nurse to be aware of potential health risks that may affect lesbians specifically, as this knowledge can help in providing appropriate care and interventions. By addressing these specific health concerns, the nurse can promote the patient's overall well-being and empower her to take proactive steps to maintain her health.
The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient?
- A. Chest pain that radiates to the right arm and jaw
- B. Episodic nausea/indigestion and palpitations
- C. Sudden onset of trouble walking, and loss of balance
- D. Swelling of the feet and shortness of breath
Correct Answer: B
Rationale: For female patients, the classic symptom of a myocardial infarction (MI) is often different from that in male patients. While chest pain that radiates to the right arm and jaw is a common symptom in male patients, female patients may present with more subtle symptoms. Episodic nausea/indigestion and palpitations are more commonly seen in female patients experiencing a myocardial infarction. It is important for healthcare providers to recognize and consider these atypical symptoms in female patients to ensure timely diagnosis and treatment.
The secondary level of prevention is best illustrated by which example?
- A. Approved infant car seats
- B. BSE
- C. Immunizations
- D. Support groups for parents of children with Down syndrome
Correct Answer: B
Rationale: BSE (Breast Self-Examination) is a secondary prevention measure aimed at early detection of health problems, like breast cancer. Immunizations are primary prevention, and support groups fall under tertiary prevention, which addresses issues post-diagnosis.
The human papillomavirus (HPV), also known as genital warts, affects 79 million Americans, with an estimated number of 14 million new infections each year. The highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent HPV is now available. Which statement regarding this vaccine is inaccurate?
- A. Only one vaccine for the HPV is available.
- B. The vaccine is given in three doses over a 6-month period.
- C. The vaccine is recommended for both boys and girls.
- D. Ideally, the vaccine is administered before the first sexual contact.
Correct Answer: A
Rationale: Two vaccines for HPV are available Cervarix and Gardasil.