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After the nurse instructs a 20 year old nuligravid client on how to perform
a breast self examination which of the following client statements indicates
that the teaching has been effective?
a. ) I should perform breast self examination on the day my menstrual
flow begins .
b. ) Its important that I perform breast self examination
c. ) If I notice that one of my breast is much smaller than the other I
shouldn’t worry .
d. ) If there’s some discharge from my nipples I should avoid
squeezing them.
Answer: D.
Rationale: If a client notices a discharge or bleeding . she should notify
physician this may be symptomatic of underlying disease.
2. A client telephones the clinic to ask about a home pregnancy test she used
this morning. The nurse understands that the presence of which hormone
strongly suggests a woman is pregnant?
A) Estrogen
B) HCG
C) Alpha-fetoprotein
D) Progesterone
4. The client asks the nurse how the health careprovider could tell she was
pregnant “just bylooking inside.” What is the best explanation bythe nurse?
10. Before advising a 24 year old client desiring oral contraceptives for
family planning the nurse would asses the client for signs & symptoms
of which of the ff?
a.) Anemia
b.) Hypertension
c.) Dysmennorhea
d.) Acne vulgaris
Answer: B
Rationale: Before advising client about oral contraceptives the nurse needs to
asses for signs and symptoms of hypertension . Clients who has hypertension
, thrombo phlebitis , obesity, or a family history of cerebral or cardiovascular
accident are poor candidates for oral contraceptives.
11. The nurse instructs a primigravid client to increase her intake of foods
high in magnesium because of its role with which of the following ?
a. Prevention of demineralization of mother bones .
b. Synthesis of proteins nucleic acid and fats
c. Amino acid metabolism
d. synthesis of neural pathways in fetus.
Answer: B
Rationale : Magnesium aids in the synthesis of protein ,nucleic acids fats . it is
important for cell growth and neuromuscular function.
12. When developing a meal planning guide about foods rich in riboflavin for
a primigravid client , the nurse would expect to instruct the client to atleast
include 2 daily servings of which of the ff?
a. Fresh fruit b. Prunes
c. Potatoes d. Enriched cereals
Answer: D
Rationale: Riboflavin forms co enzyme need to release energy . Enriched
grain products ( e.g cereals breads, deep green leafy veggies, milk, veal, beef
& cheddar cheese are rich sources of riboflavin. Fresh fruit is rich in vit c and
fiber. Prunes is rich in vit c and iron. Potatoes are source of vit c and carbo.