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 A

Explanation

Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.

A. Smoking cigarettes and drinking wine will not affect my sperm count. B. I was treated with antibiotics for trichomoniasis in my late teens, so it should not affect my ability to conceive now. C. We should engage in unprotected intercourse three weeks after her menstrual period when we decide to conceive. D. If my husband regularly uses the hot tub, it will decrease his sperm count.

Correct Answer is D

Explanation

Choice A rationale
Smoking and drinking alcohol can indeed affect sperm count. Studies have shown that smoking and alcohol consumption do not significantly affect semen quality, but avoiding them is still considered good health advice.
Choice B rationale
Trichomoniasis is a sexually transmitted infection that can be treated with medication. If treated properly, it should not affect the ability to conceive in the future.
Choice C rationale
The timing of intercourse for conception is usually centered around the time of ovulation, which typically occurs in the middle of the menstrual cycle, not three weeks after menstruation. Engaging in unprotected intercourse three weeks after her menstrual period may not be the most effective timing for conception.
Choice D rationale
Regular use of hot tubs can indeed decrease a man’s sperm count. The heat from hot tubs can affect sperm production, leading to a reduction in sperm count.

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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 labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, 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 A

Explanation

Which statement, if made by a couple receiving health education about fertility, would indicate that the teaching was successful?

Correct Answer is D

Explanation

A patient inquires about the gamete intrafallopian transfer (GIFT) procedure. What would be an appropriate response for the nurse to make?

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What would the nurse expect to find when taking the health history of a woman admitted for repair of cystocele and rectocele, who has nine living children?

A client with genital herpes simplex infection asks the nurse, “Will I ever be cured of this infection?” Which response by the nurse would be most appropriate?

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A patient is scheduled to receive Pergonal (Menotropins) injections as part of an infertility treatment before in vitro fertilization. What is the anticipated effect of this medication?