A nurse is conducting a class on BSE.
Which statement indicates the proper BSE technique?
The best time to perform BSE is in the middle of the menstrual cycle.
If she suspects she is pregnant, then the woman should not perform a BSE until after her baby is born.
A woman should perform BSEs bimonthly unless she has fibrocystic breast tissue.
The best time to perform a BSE is 4-7 days after the first day of the menstrual period.
The Correct Answer is D
Choice A rationale
The middle of the menstrual cycle is when hormonal fluctuations are highest, which can cause breast tenderness and lumpiness, potentially making it more difficult to distinguish normal breast tissue from abnormalities during a BSE.
Choice B rationale
Pregnancy causes significant hormonal changes that lead to breast enlargement and increased nodularity, making BSE more challenging and potentially causing unnecessary anxiety. However, it is still important for pregnant women to be aware of their breasts and report any unusual changes to their healthcare provider.
Choice C rationale
BSE should be performed monthly, not bimonthly, to ensure regular self-examination. While women with fibrocystic breast tissue may have more lumps and bumps, regular monthly BSE is still important for them to become familiar with their normal breast tissue and identify any new or changing lumps.
Choice D rationale
The optimal time to perform a BSE is 4-7 days after the start of the menstrual period. At this point in the cycle, hormone levels are typically at their lowest, and the breasts are less likely to be swollen or tender, making it easier to detect any abnormalities. .
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Breathing in and out normally does not protect the airway during nasogastric tube removal. The risk of aspiration is present as the tube is withdrawn, and normal breathing does not actively close off the trachea.
Choice B rationale
Taking a deep breath and coughing can help to clear the airway after the tube is removed but does not directly aid in preventing aspiration during the removal process itself. Coughing expels material from the lungs and throat.
Choice C rationale
Holding her breath during nasogastric tube removal helps to close the epiglottis, which covers the trachea. This action minimizes the risk of aspiration of any residual secretions or reflux that might occur as the tube is being withdrawn.
Choice D rationale
Bearing down, or performing the Valsalva maneuver, increases intra-abdominal pressure and is typically used to stimulate a bowel movement. It is not relevant to protecting the airway during nasogastric tube removal and could potentially increase the risk of reflux.
Correct Answer is C
Explanation
Choice A rationale
A BMI of 30 or higher is classified as obese. Class 1 obesity is defined as a BMI between 30 and 34.9. Chelsea's BMI of 17 is significantly lower than this range.
Choice B rationale
Class 2 obesity is defined as a BMI between 35 and 39.9. Chelsea's BMI of 17 is considerably below this classification.
Choice C rationale
A BMI below 18.5 is classified as underweight. Chelsea's BMI of 17 falls within this range, indicating that her weight is lower than what is considered healthy for her height.
Choice D rationale
A normal weight range is typically defined as a BMI between 18.5 and 24.9. Chelsea's BMI of 17 is below this healthy range.
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