Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

At any time during a shower or bath

5 to 7 days after menses ceases

Day 1 of the endometrial cycle

Three days before the period start

Answer and Explanation

The Correct Answer is B

a.   While breast self-examination (BSE) can be done at any time, the best time is 5 to 7 days after menses ceases when the breasts are less likely to be tender or swollen.
b.   This is the best time for BSE when the breasts are least likely to be tender or swollen.
c.   This is not the best time for BSE.

d. This is not the best time for BSE.

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Correct Answer is A

Explanation

a. Amenorrhea, or the absence of menstrual periods, is a presumptive sign of pregnancy that occurs around the time of implantation of the fertilized egg.
b. A positive pregnancy test is a probable sign of pregnancy that can occur as early as 7-10 days after conception.
c. Chadwick's sign, or the bluish discoloration of the cervix and vagina, is a probable sign of pregnancy that typically occurs around 6-8 weeks of gestation.
d. Hegar's sign, or the softening of the lower uterine segment, is a probable sign of pregnancy that typically occurs around 6-12 weeks of gestation.

A. Enteral nutrition to correct nutritional deficits. B. Corticosteroids and antibiotics to reduce the infection. C. NPO for 48 hrs and IV therapy to correct fluid and electrolyte imbalances. D. All antiemetic, such as pyridoxine (vitamin B6) to control nausea and vomiting. E. All antiemetic, such as pyridoxine (vitamin B6) to control nausea and vomiting.

Correct Answer is C

Explanation

a. This may be necessary once the woman's condition stabilizes, but it is not the initial treatment.
b. This is not typically indicated for hyperemesis gravidarum.

c. This is the initial treatment for hyperemesis gravidarum to prevent dehydration and correct electrolyte imbalances.
d. This may be part of the treatment plan, but it is not the initial treatment.

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Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

Correct Answer is A

Explanation

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be? Select one:

Correct Answer is C

Explanation

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has neural tube defects (NTD), which of the following information should the nurse include in the teaching? Select one:

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured spontaneously. The nurse's priority must be to: Select one:

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?