When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

Age of 25 years

History of smoking

Diabetes since the age of 15

Weight below the standard for height and age

Answer and Explanation

The Correct Answer is A

Choice A rationale
Age of 25 years is not typically identified as a potential risk factor for infertility. Women in their mid-twenties are often in their peak reproductive years.
Choice B rationale
A history of smoking can potentially impact fertility. Smoking can harm the ovaries and the eggs they produce, potentially leading to fertility issues.
Choice C rationale
Diabetes since the age of 15 could potentially impact fertility. Diabetes can cause irregular menstrual cycles and other reproductive issues, which could lead to difficulty conceiving. Choice D rationale
Weight below the standard for height and age could potentially impact fertility. Being underweight can lead to irregular menstrual cycles and ovulation, which could lead to difficulty conceiving.

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Correct Answer is D

Explanation

Choice A rationale
Sporadic vaginal bleeding accompanied by chronic pelvic pain is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice B rationale
Heavy leukorrhea with vulvar pruritus is not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice C rationale
Menstrual irregularities and hirsutism on the chin are not typically associated with a woman who has had multiple pregnancies and is admitted for repair of cystocele and rectocele.
Choice D rationale
Stress incontinence with a feeling of low abdominal pressure is a common symptom in women who have had multiple pregnancies and are admitted for repair of cystocele and rectocele. Multiple pregnancies can weaken the pelvic floor muscles, leading to conditions like cystocele and rectocele. Stress incontinence, where urine leaks out with increased abdominal pressure (such as when coughing, sneezing, or lifting), is a common symptom of these conditions.

A. I should lie down with my arms at my side when looking at my breasts B. I should use the finger pads of my three middle fingers to apply pressure to my breast C. I don’t need to check under my arm on that side if my breast feels fine D. I need to work from left to right down my breast towards my ribs

Correct Answer is B

Explanation

Choice A rationale
While lying down can be part of the breast self-examination process, the arms should not be at the side. Instead, they should be raised above the head to spread the breast tissue evenly over the chest.
Choice B rationale
The finger pads of the three middle fingers are used to apply pressure to the breast during a self-exam. This allows for a thorough examination of the breast tissue for any lumps or abnormalities. This is the correct method for performing a breast self-examination.
Choice C rationale
Even if the breast feels fine, it is important to check under the arm. The lymph nodes located in this area can swell due to breast cancer.
Choice D rationale
While examining the breast, it is not necessary to work from left to right towards the ribs. The important thing is to cover the entire breast area, including the armpit.

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When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

After teaching a woman how to perform breast self-examination, which statement would indicate that the nurse’s instructions were successful?

Correct Answer is B

Explanation

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