After instructing a woman on how to conduct a breast self-examination, which statement would suggest that the nurse’s instructions were effective?

“I should lie down with my arms at my side when examining my breasts.”.

“I should use the fingerpads of my three middle fingers to apply pressure to my breast.”.

“I don’t need to check under my arm on that side if my breast feels fine.”.

“I need to work from left to right down my breast towards my ribs.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Lying down with arms at the side is not the recommended position for a breast self-exam. The recommended positions are either standing or lying down with the arm raised.
Choice B rationale
Using the finger pads of the three middle fingers to apply pressure to the breast is a correct technique for a breast self-exam. This method allows for thorough examination of the breast tissue.
Choice C rationale
It is not correct to avoid checking under the arm if the breast feels fine. The breast tissue extends into the underarm area, so it is important to check this area as well during a breast self-exam.
Choice D rationale
Working from left to right down the breast towards the ribs is not a standard instruction for a breast self-exam. The recommended method is to use a circular, up-and-down, or wedge pattern.

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Correct Answer is B

Explanation

Choice A rationale
A negative pregnancy test is important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), but it is not the priority finding. Pregnancy is one of the common causes of AUB in reproductive-age women, but the user’s question is about prioritizing findings, and other choices are more critical to assess the patient’s condition.
Choice B rationale
Hemoglobin and hematocrit levels are crucial in assessing the severity of AUB. Chronic heavy or prolonged uterine bleeding may cause iron deficiency anemia. Therefore, these tests are prioritized to determine the patient’s blood volume and to plan appropriate interventions.
Choice C rationale
While an elevated white blood cell count could indicate an infection, which can also cause AUB, it is not the priority in this case. Infections are less common causes of AUB, and the symptoms would likely include pain, fever, or abnormal discharge.
Choice D rationale
Serum cholesterol levels are not directly related to AUB. While it’s important to monitor cholesterol levels for overall health and cardiovascular risk management, it’s not a priority in the assessment of AUB12.

A. All body parts appear proportionate B. The extremities are disproportionate to the trunk C. The head seems large compared with the rest of the body D. One side of the body appears slightly smaller than the other .

Correct Answer is C

Explanation

Choice A rationale

In infants with asymmetric intrauterine growth restriction (IUGR), not all body parts appear proportionate. Typically, the head is disproportionately larger compared to the rest of the body.
Choice B rationale
While the extremities can be smaller in infants with IUGR, this is not specific to asymmetric IUGR910.
Choice C rationale
In asymmetric IUGR, the head seems large compared with the rest of the body. This is because the body slows its growth to allow the brain to continue growing.
Choice D rationale
One side of the body appearing slightly smaller than the other is not a typical characteristic of asymmetric IUGR910.

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After instructing a woman on how to conduct a breast self-examination, which statement would suggest that the nurse’s instructions were effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the laboratory test results of a client with abnormal uterine bleeding (AUB). Which finding should the nurse prioritize?

Correct Answer is B

Explanation

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

Correct Answer is C

Explanation

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