During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

engaging in daily exercise

eating a high-fat diet

becoming pregnant

using estrogen contraceptives

Having regular pelvic exams

Answer and Explanation

Correct Answer : A,C,E

A. Engaging in daily exercise:

Regular physical activity has been associated with a reduced risk of endometrial cancer. Exercise helps maintain a healthy weight and may help regulate hormone levels, which can contribute to a lower risk of developing endometrial cancer.

B. Eating a high-fat diet:

Consuming a high-fat diet may increase the risk of endometrial cancer. High-fat diets have been linked to obesity, which in turn is a risk factor for endometrial cancer. Additionally, high-fat diets may alter hormone levels in the body, potentially affecting the development of endometrial cancer.

C. Becoming pregnant:

Pregnancy and childbirth can have a protective effect against endometrial cancer. During pregnancy, hormonal changes and the cessation of menstrual cycles may reduce the exposure of the endometrium to estrogen, potentially decreasing the risk of developing endometrial cancer.

D. Using estrogen contraceptives:

Estrogen-containing contraceptives, such as birth control pills, patches, or hormonal intrauterine devices (IUDs), have been associated with a higher risk of endometrial cancer, especially if used for extended periods. Estrogen alone, without the balancing effect of progesterone, can stimulate the growth of the endometrium and increase the risk of cancer.

E. Having regular pelvic exams:

Regular pelvic exams, which may include a Pap smear and/or endometrial biopsy, can help detect abnormalities in the endometrium at an early stage. Early detection can lead to timely intervention and treatment, potentially reducing the risk of advanced endometrial cancer.

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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. jaundice B. hemorrhage C. edema D. infection

Correct Answer is B

Explanation

A. Jaundice:

Jaundice refers to the yellowing of the skin and whites of the eyes due to elevated levels of bilirubin in the blood. While jaundice can be a sign of liver dysfunction or obstruction of the bile ducts, it is not typically associated with a ruptured ectopic pregnancy. Therefore, assessing for jaundice would not be the priority in this situation.

B. Hemorrhage:

Hemorrhage, or excessive bleeding, is the priority assessment in a suspected case of a ruptured ectopic pregnancy. A ruptured ectopic pregnancy can lead to significant internal bleeding, which can quickly become life-threatening. Signs and symptoms of hemorrhage may include hypotension, tachycardia, abdominal pain, dizziness, fainting, and signs of shock. Prompt recognition and management of hemorrhage are crucial to stabilize the client's condition and prevent further complications.

C. Edema:

Edema refers to the abnormal accumulation of fluid in the body tissues, resulting in swelling. While edema can occur in various conditions, such as heart failure or kidney disease, it is not typically associated with a ruptured ectopic pregnancy. Assessing for edema would not be the priority in this situation.

D. Infection:

Infection can occur as a complication of a ruptured ectopic pregnancy, particularly if there is contamination of the abdominal cavity by blood and tissue from the ruptured fallopian tube. However, the immediate concern in a suspected case of a ruptured ectopic pregnancy is hemorrhage, as it poses an immediate threat to the client's life. While infection is a concern, it is secondary to hemorrhage in terms of priority assessment and management.

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During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.

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 client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

Correct Answer is B

Explanation

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During a routine health check-up, a young adult woman asks the nurse about ways to prevent endometrial cancer. Which actions would the nurse most likely include? Select all that apply.