A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis.
When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

History of Smoking

Exercising daily

BMI 20%

Age 25 years .

Answer and Explanation

The Correct Answer is B

Choice A rationale
Smoking has been associated with an increased risk of developing endometriosis. It is thought that certain substances found in tobacco smoke may have a role in the development or progression of endometriosis14.
Choice B rationale
Regular exercise has been associated with a decreased risk of endometriosis. Physical activity may influence the body’s production of estrogen, a hormone that is thought to play a role in endometriosis14.
Choice C rationale
A higher body mass index (BMI) has been associated with a decreased risk of endometriosis. It is thought that body fat may influence the levels of hormones such as estrogen in the body14.
Choice D rationale
Age is a risk factor for endometriosis, with the condition being more common in women in their 30s and 40s. However, endometriosis can occur in any woman who has menstrual periods14.

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Correct Answer is D

Explanation

Choice A rationale
The American Cancer Society does not recommend starting mammograms at age 30 for women at average risk. This age is too young for the initiation of routine screening mammograms.
Choice B rationale
The American Cancer Society does not recommend starting mammograms at age 35 for women at average risk. This age is still considered too young for the initiation of routine screening mammograms.
Choice C rationale
The American Cancer Society does not recommend starting mammograms at age 40 for women at average risk, although women between 40 and 44 have the option to start screening with a mammogram every year.
Choice D rationale
According to the American Cancer Society, women at average risk should start having mammograms at age 45. From age 45 to 54, they should get mammograms every year.

A. Prepare for a vaginal delivery:. B. Administer antiviral medication. C. Prepare for a cesarean delivery. D. Discharge the patient:

Correct Answer is C

Explanation

Choice A (Prepare for a vaginal delivery) is incorrect. Vaginal delivery is generally not recommended for women with active genital herpes lesions present during labor due to the high risk of transmitting the virus to the newborn. This risk is especially high when the mother experiences a primary infection (first outbreak) during the third trimester or has visible lesions at the time of delivery.
Choice B (Administer antiviral medication) is partially correct. While antiviral medications can be helpful in managing and potentially shortening outbreaks, they alone are not enough to prevent transmission during delivery. Antiviral medication can be used in combination with cesarean delivery to further reduce the risk of transmission.
Choice C (Prepare for a cesarean delivery) is correct. A cesarean delivery is the preferred method of delivery for women with active genital herpes lesions present during labor because it significantly reduces the risk of the virus being transmitted to the newborn. This risk can be as high as 50% during vaginal delivery with active lesions, while the risk with cesarean delivery is significantly lower, typically around 1% or less.
Choice D (Discharge the patient) is incorrect. Discharging a patient in active labor with active genital herpes lesions is not a safe or appropriate course of action. The patient needs to be carefully monitored and managed in a healthcare setting to minimize the risk of transmission to the newborn and ensure the safety of both mother and baby.

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A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis. When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?

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Naxlex Comprehensive Predictor Exams

A woman at low risk and with no family history of breast cancer comes to the clinic and asks the nurse about when she should have her first mammogram. According to the recommendations of the American Cancer Society, at what age should the woman have her first mammogram?

Correct Answer is D

Explanation

The labor nurse is admitting a patient in active labor who has a history of genital herpes. The patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What action should the nurse take in anticipating the plan of care for this patient?

Correct Answer is C

Explanation

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A client comes to the clinic with abdominal pain. Based on her history, the nurse suspects endometriosis.
When reviewing the woman’s history, the nurse would LEAST likely identify which factor as a possible risk?