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. Immunization:

Currently, there is no licensed vaccine available for the prevention of cytomegalovirus (CMV) infection. Therefore, immunization is not a viable option for preventing CMV infection during pregnancy. While researchers are actively working on developing a CMV vaccine, it is not yet available for widespread use.

B. Prenatal screening:

Prenatal screening for CMV is not routinely performed during prenatal care. Screening for CMV during pregnancy is not typically recommended unless there is a specific clinical indication, such as maternal symptoms suggestive of acute CMV infection or fetal abnormalities detected on ultrasound. Therefore, prenatal screening is not a primary preventive measure for CMV infection during pregnancy.

C. Antibody titer screening:

Antibody titer screening for CMV is also not routinely performed during prenatal care. While some healthcare providers may offer CMV antibody testing in certain situations, such as for women with a known exposure to CMV or those at increased risk of primary CMV infection during pregnancy, it is not a standard practice for all pregnant women. Therefore, antibody titer screening is not a primary preventive measure for CMV infection during pregnancy.

D. Frequent handwashing:

Frequent handwashing is the most important preventive measure for reducing the risk of CMV infection during pregnancy. CMV is commonly transmitted through close contact with bodily fluids, such as saliva, urine, blood, and genital secretions. Proper hand hygiene, including washing hands with soap and water for at least 20 seconds, especially after coming into contact with young children's saliva or urine, can help prevent the spread of CMV. This measure is crucial for pregnant women to reduce their risk of acquiring CMV and transmitting it to their unborn babies.

A. "I'm sorry you lost your baby." B. "A baby still wasn't formed in your uterus." C. "Will a pill help your pain?" D. "Why are you crying?"

Correct Answer is A

Explanation

A. "I'm sorry you lost your baby."

This response demonstrates empathy and validation of the client's emotions. It acknowledges the client's loss and offers support during a difficult time. By expressing sympathy, the nurse shows understanding and compassion towards the client's grief.

B. "A baby still wasn't formed in your uterus."

This response may come across as dismissive or invalidating of the client's emotions. It does not acknowledge the client's loss or address their emotional needs. It focuses more on the biological aspect of the situation rather than the client's feelings.

C. "Will a pill help your pain?"

This response only addresses physical pain management and does not acknowledge the emotional distress the client is experiencing. While pain relief is important, it is equally important to address the client's emotional needs and provide support during a difficult time.

D. "Why are you crying?"

This response may come across as insensitive or intrusive. It puts the client on the spot and may make them feel uncomfortable or defensive about their emotions. It does not provide empathy or support and fails to acknowledge the client's loss or offer condolences.

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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

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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