A woman comes to the clinic and asks the nurse about when she should have her first mammogram. The woman is at low risk and has no family history of breast cancer. Using the recommendations of the American Cancer Society, the nurse would suggest the woman have her first mammogram at which age?

30 years

35 years

45 years

40 years

Answer and Explanation

The Correct Answer is C

A. 30 years:

The American Cancer Society does not recommend routine mammograms for women at average risk and with no family history of breast cancer starting at age 30. Mammograms at this age are generally not considered necessary unless there are specific risk factors or symptoms present that warrant earlier screening.

B. 35 years:

Similarly, the American Cancer Society does not recommend routine mammograms for women at average risk and with no family history of breast cancer starting at age 35. While early detection is important, routine screening mammography typically begins at a later age for women at average risk.

C. 45 years:

This is the correct choice according to the American Cancer Society's recommendations. For women at average risk and with no family history of breast cancer, the American Cancer Society suggests starting annual mammograms at age 45. This age was determined based on evidence indicating that screening mammography in this age group can effectively detect breast cancer and reduce mortality rates associated with the disease.

D. 40 years:

While some organizations, such as the American College of Radiology and the American College of Obstetricians and Gynecologists, recommend starting routine mammograms at age 40, the American Cancer Society suggests starting at age 45 for women at average risk and with no family history of breast cancer. The choice to begin screening at age 45 aligns with evidence-based recommendations and balances the benefits of early detection with the potential harms of false positives and overdiagnosis in younger women.

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Correct Answer is D

Explanation

A. Cervical insufficiency:

Cervical insufficiency, also known as incompetent cervix, is a condition where the cervix begins to dilate and efface prematurely without contractions during the second trimester. While it can lead to second-trimester pregnancy loss, it's not typically the most common cause of first-trimester abortions.

B. Maternal disease:

While certain maternal conditions or diseases can contribute to pregnancy complications, such as pre-eclampsia or diabetes, they are not typically the most common cause of first-trimester abortions.

C. Uterine fibroids:

Uterine fibroids are noncancerous growths of the uterus that can lead to various pregnancy complications, including miscarriage. However, they are not typically the most common cause of first-trimester abortions.

D. Fetal genetic abnormalities:

This option is correct. Fetal genetic abnormalities, such as chromosomal abnormalities, are the most common cause of first-trimester spontaneous abortions, also known as miscarriages. These abnormalities can lead to developmental issues incompatible with life, resulting in spontaneous abortion.

A. "I should avoid drinking orange juice." B. "I should take my iron with milk." C. "I need to eat foods high in fiber." D. "I'll call the primary care provider if my stool is black and tarry."

Correct Answer is D

Explanation

A. "I should avoid drinking orange juice."

- This statement is incorrect. Vitamin C, found in orange juice and other citrus fruits, can actually enhance the absorption of iron from iron supplements. Therefore, it is recommended to take iron supplements with vitamin C-rich foods or beverages to improve iron absorption. Advising the pregnant woman to avoid orange juice would be counterproductive to optimizing iron absorption.

B. "I should take my iron with milk."

- This statement is incorrect. Calcium, found in milk and dairy products, can inhibit the absorption of iron from iron supplements. Therefore, it is generally advised to avoid taking iron supplements with milk or other calcium-rich foods or beverages. Instead, iron supplements should be taken with water or vitamin C-rich foods or beverages to enhance iron absorption.

C. "I need to eat foods high in fiber."

- While it's important to maintain a balanced diet with adequate fiber intake for overall health, this statement does not directly relate to the appropriate use of iron supplements. While dietary fiber can affect digestion and bowel movements, it does not significantly impact the absorption of iron from iron supplements. Therefore, while it's beneficial to consume a diet high in fiber for various health reasons, it is not specifically necessary in relation to iron supplementation.

D. "I'll call the primary care provider if my stool is black and tarry."

- This statement is correct and indicates successful teaching. Black, tarry stools can indicate the presence of gastrointestinal bleeding, which can occur as a side effect of iron supplementation. By instructing the pregnant woman to contact her primary care provider if she experiences black, tarry stools, she demonstrates understanding of a potential adverse effect of iron supplementation and knows to seek appropriate medical attention if necessary.

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A woman comes to the clinic and asks the nurse about when she should have her first mammogram. The woman is at low risk and has no family history of breast cancer. Using the recommendations of the American Cancer Society, the nurse would suggest the woman have her first mammogram at which age?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?

Correct Answer is D

Explanation

A pregnant woman is diagnosed with iron-deficiency anemia and is prescribed an iron supplement. After teaching her about her prescribed iron supplement, which statement indicates successful teaching?

Correct Answer is D

Explanation

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