A nurse is providing teaching to a group of clients about risk factors for ovarian cancer. Which of the following risk factors should the nurse include? (Select all that apply)
Nulliparity
History of breastfeeding
Previous use of oral contraceptives
History of breast cancer
Use of postmenopausal estrogen
Correct Answer : A,D,E
A. Nulliparity: Correct. Nulliparity, or never having been pregnant, is a known risk factor for ovarian cancer. Women who have never given birth have a higher risk of developing ovarian cancer compared to those who have had one or more children.
B. History of breastfeeding: Incorrect. Breastfeeding is generally associated with a decreased risk of ovarian cancer. It is thought to reduce the number of lifetime ovulatory cycles, thereby potentially lowering the risk.
C. Previous use of oral contraceptives: Incorrect. The use of oral contraceptives is associated with a reduced risk of ovarian cancer. Long-term use can significantly decrease the risk, and the protective effect may continue for years after discontinuation.
D. History of breast cancer: Correct. A history of breast cancer is a risk factor for ovarian cancer, particularly in women with BRCA1 or BRCA2 gene mutations. These mutations increase the risk of both breast and ovarian cancers.
E. Use of postmenopausal estrogen: Correct. The use of postmenopausal estrogen, especially when used without progesterone, is associated with an increased risk of ovarian cancer. Estrogen therapy can stimulate the growth of ovarian tumors in susceptible women.
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Related Questions
Correct Answer is D
Explanation
A. Incorrect. Periodic tingling of fingers is not typically considered a sign of a serious prenatal complication. It can be related to normal pregnancy changes such as carpal tunnel syndrome.
B. Incorrect. The absence of clonus is not indicative of a complication. Clonus, or the lack thereof, is a normal finding in the absence of significant neurological issues.
C. Incorrect. Leg cramps are a common issue during pregnancy and usually not a sign of a severe complication.
D. Correct. Blurred vision can be a sign of preeclampsia or other significant prenatal complications, and should be evaluated further to ensure proper management and safety for both the mother and fetus.
Correct Answer is ["A","B","D"]
Explanation
A. "Are you taking over-the-counter medications?": Correct. It's important to ask about other medications, including over-the-counter ones, to avoid potential drug interactions or contraindications with ibuprofen.
B. "Do you have a history of gastric problems?": Correct. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation or bleeding, so a history of gastric issues is important to consider.
C. "What kind of contraception will you be using?": Incorrect. This question is not directly related to the safe use of ibuprofen and its effects.
D. "Are you being treated for high blood pressure?": Correct. NSAIDs like ibuprofen can affect blood pressure, so it is important to assess whether the client has hypertension or is being treated for it.
E. "Do you have a history of cataracts?": Incorrect. A history of cataracts is not relevant to the administration of ibuprofen.
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